Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $77.62 / $147.91	Facility		$63.10	$77.62	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $52.48 / $112.20	Professional		$30.20	$52.48	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $77.62 / $141.25	Professional		$40.74	$77.62	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $79.43 / $134.90	Professional		$50.12	$79.43	$134.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $67.61 / $117.49	Facility		$38.90	$67.61	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $85.11 / $131.83	Professional		$47.86	$85.11	$131.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $100.00 / $114.82	Facility		$69.18	$100.00	$114.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $67.61 / $117.49	Facility		$38.90	$67.61	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $138.04	Professional		$58.88	$79.43	$138.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $91.20 / $112.20	Facility		$58.88	$91.20	$112.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $144.54	Professional		$60.26	$95.50	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $1,071.52 / $6,165.95	Facility		$107.15	$1,071.52	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $77.62 / $131.83	Professional		$47.86	$77.62	$131.83