Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.98 / $114.37 / $234.50	Facility		$50.98	$114.37	$234.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.14 / $31.41 / $125.97	Professional		$24.14	$31.41	$125.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.33 / $223.86 / $304.19	Facility		$23.33	$223.86	$304.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $54.64 / $81.66	Professional		$29.29	$54.64	$81.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.85 / $68.77 / $79.45	Professional		$57.85	$68.77	$79.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.20 / $52.83 / $72.20	Facility		$26.20	$52.83	$72.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.07 / $49.81 / $89.32	Professional		$43.07	$49.81	$89.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.85 / $52.43 / $59.16	Facility		$35.85	$52.43	$59.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.16 / $63.75 / $89.12	Facility		$30.16	$63.75	$89.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.16 / $62.33 / $84.55	Professional		$44.16	$62.33	$84.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $201.89 / $281.32 / $339.90	Facility		$201.89	$281.32	$339.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.41 / $60.48 / $81.88	Professional		$49.41	$60.48	$81.88
United Facility/Professional Facility Modifier Low / Median / High Price $267.63 / $267.63 / $330.68	Facility		$267.63	$267.63	$330.68
United Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $35.15 / $83.71	Professional		$26.25	$35.15	$83.71