Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.06 / $81.04 / $156.49	Facility		$67.06	$81.04	$156.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.21 / $66.84 / $350.43	Professional		$54.21	$66.84	$350.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.83 / $147.13 / $197.79	Facility		$90.83	$147.13	$197.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $64.43 / $100.46	Professional		$29.13	$64.43	$100.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.89 / $136.47 / $147.22	Professional		$55.89	$136.47	$147.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.10 / $59.63 / $116.55	Facility		$31.10	$59.63	$116.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.89 / $67.06 / $92.05	Professional		$55.89	$67.06	$92.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.89 / $75.45 / $123.38	Facility		$55.89	$75.45	$123.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.70 / $67.63 / $147.13	Facility		$40.70	$67.63	$147.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.89 / $69.86 / $91.49	Professional		$55.89	$69.86	$91.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $108.99 / $172.48 / $230.90	Facility		$108.99	$172.48	$230.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $71.23 / $137.84	Professional		$50.12	$71.23	$137.84
United Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $31.94 / $67.06	Professional		$23.47	$31.94	$67.06