Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.58 / $186.61 / $1,070.09	Facility		$93.58	$186.61	$1,070.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.71 / $54.11 / $317.60	Professional		$53.71	$54.11	$317.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.65 / $197.07 / $267.23	Facility		$121.65	$197.07	$267.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.95 / $85.90 / $134.53	Professional		$48.95	$85.90	$134.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $182.20 / $196.61	Professional		$74.86	$182.20	$196.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.52 / $74.86 / $156.11	Facility		$54.52	$74.86	$156.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $83.18 / $101.97	Professional		$74.86	$83.18	$101.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $74.86 / $82.35 / $165.25	Facility		$74.86	$82.35	$165.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.52 / $89.83 / $217.09	Facility		$54.52	$89.83	$217.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $89.83 / $117.71	Professional		$74.86	$89.83	$117.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $145.97 / $231.05 / $309.27	Facility		$145.97	$231.05	$309.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.92 / $101.97 / $184.61	Professional		$66.92	$101.97	$184.61
United Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $42.83 / $89.83	Professional		$31.44	$42.83	$89.83