Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $234.42 / $239.88	Facility		$51.29	$234.42	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $63.10	Professional		$33.88	$39.81	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $154.88	Facility		$85.11	$85.11	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $60.26 / $75.86	Professional		$52.48	$60.26	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $114.82 / $134.90	Professional		$52.48	$114.82	$134.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $57.54 / $72.44	Professional		$52.48	$57.54	$72.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $74.13	Facility		$52.48	$52.48	$74.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $63.10 / $138.04	Facility		$27.54	$63.10	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $57.54 / $79.43	Professional		$52.48	$57.54	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $154.88 / $208.93	Facility		$79.43	$154.88	$208.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $63.10	Professional		$39.81	$47.86	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $85.11	Facility		$63.10	$63.10	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $63.10	Professional		$22.39	$22.39	$63.10