Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.60 / $73.23 / $141.40	Facility		$60.60	$73.23	$141.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.77 / $48.99 / $73.23	Professional		$26.77	$48.99	$73.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.08 / $132.96 / $175.45	Facility		$82.08	$132.96	$175.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.03 / $57.82 / $90.47	Professional		$33.03	$57.82	$90.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $123.04 / $132.77	Professional		$50.50	$123.04	$132.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $63.50 / $177.62	Facility		$36.78	$63.50	$177.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $58.08 / $89.25	Professional		$50.50	$58.08	$89.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $68.18 / $111.48	Facility		$50.50	$68.18	$111.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $63.50 / $146.44	Facility		$36.78	$63.50	$146.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $60.60 / $82.67	Professional		$50.50	$60.60	$82.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $98.48 / $155.85 / $208.64	Facility		$98.48	$155.85	$208.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $45.19 / $64.37 / $124.72	Professional		$45.19	$64.37	$124.72
United Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $28.86 / $60.60	Professional		$21.21	$28.86	$60.60