Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.22 / $84.47 / $94.20	Facility		$78.22	$84.47	$94.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $42.61 / $102.34	Professional		$24.66	$42.61	$102.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.50 / $223.86 / $304.19	Facility		$32.50	$223.86	$304.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $72.45 / $104.46	Professional		$37.04	$72.45	$104.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $87.76 / $101.77	Professional		$73.70	$87.76	$101.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.24 / $68.19 / $98.01	Facility		$33.24	$68.19	$98.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.20 / $65.20 / $114.87	Professional		$53.20	$65.20	$114.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.93 / $67.86 / $76.76	Facility		$48.93	$67.86	$76.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $87.15 / $113.85	Facility		$39.00	$87.15	$113.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.51 / $80.98 / $107.35	Professional		$55.51	$80.98	$107.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $201.89 / $281.32 / $339.89	Facility		$201.89	$281.32	$339.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $77.40 / $103.07	Professional		$67.20	$77.40	$103.07
United Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $45.13 / $117.06	Professional		$36.25	$45.13	$117.06