Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.76 / $133.87 / $294.30	Facility		$59.76	$133.87	$294.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $37.77 / $65.65	Professional		$34.83	$37.77	$65.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $125.87 / $164.03	Facility		$77.70	$125.87	$164.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $54.93 / $85.77	Professional		$31.08	$54.93	$85.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.81 / $116.74 / $125.95	Professional		$47.81	$116.74	$125.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $47.81 / $99.72	Facility		$34.67	$47.81	$99.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.81 / $53.12 / $66.00	Professional		$47.81	$53.12	$66.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.81 / $57.37 / $105.54	Facility		$47.81	$57.37	$105.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.82 / $57.37 / $126.32	Facility		$34.82	$57.37	$126.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.81 / $57.37 / $78.14	Professional		$47.81	$57.37	$78.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $93.23 / $147.55 / $197.52	Facility		$93.23	$147.55	$197.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.87 / $51.76 / $118.15	Professional		$42.87	$51.76	$118.15
United Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $22.85 / $57.37	Professional		$20.07	$22.85	$57.37