Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.42 / $319.95 / $428.93	Facility		$90.42	$319.95	$428.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $25.39 / $116.56	Professional		$19.00	$25.39	$116.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.08 / $92.46 / $112.21	Facility		$57.08	$92.46	$112.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $47.08 / $71.08	Professional		$21.31	$47.08	$71.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $95.44 / $102.98	Professional		$38.59	$95.44	$102.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $51.45 / $100.56	Facility		$22.73	$51.45	$100.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $56.70 / $17,150.38	Professional		$35.13	$56.70	$17,150.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.35 / $79.94 / $81.06	Facility		$55.35	$79.94	$81.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.58 / $40.43 / $102.05	Facility		$25.58	$40.43	$102.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $44.10 / $71.08	Professional		$34.90	$44.10	$71.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $80.39 / $123.73 / $164.99	Facility		$80.39	$123.73	$164.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $60.00 / $99.28	Professional		$32.00	$60.00	$99.28
United Facility/Professional Professional Modifier Low / Median / High Price $16.92 / $19.86 / $56.74	Professional		$16.92	$19.86	$56.74