Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $93.33 / $269.15	Facility		$75.86	$93.33	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $44.67 / $93.33	Professional		$15.14	$44.67	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $173.78	Facility		$97.72	$97.72	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $60.26 / $107.15	Professional		$11.22	$60.26	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $128.82 / $154.88	Professional		$60.26	$128.82	$154.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $60.26 / $60.26	Facility		$57.54	$60.26	$60.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $60.26 / $81.28	Professional		$22.91	$60.26	$81.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $114.82	Facility		$60.26	$60.26	$114.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $83.18 / $177.83	Facility		$25.70	$83.18	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $66.07 / $83.18	Professional		$22.91	$66.07	$83.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $177.83 / $234.42	Facility		$89.13	$177.83	$234.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $51.29 / $72.44	Professional		$16.98	$51.29	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $95.50	Facility		$72.44	$72.44	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $25.12 / $72.44	Professional		$9.55	$25.12	$72.44