Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $77.62 / $229.09	Facility		$63.10	$77.62	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $47.86 / $77.62	Professional		$26.92	$47.86	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $131.83 / $173.78	Facility		$81.28	$131.83	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $91.20	Professional		$30.20	$50.12	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $109.65 / $128.82	Professional		$50.12	$109.65	$128.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $66.07	Facility		$50.12	$50.12	$66.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $89.13	Professional		$50.12	$63.10	$89.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $95.50	Facility		$50.12	$50.12	$95.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $72.44 / $173.78	Facility		$48.98	$72.44	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $91.20	Professional		$50.12	$63.10	$91.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $151.36 / $208.93	Facility		$75.86	$151.36	$208.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $50.12 / $64.57	Professional		$38.02	$50.12	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $81.28	Facility		$60.26	$60.26	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.84 / $70.79	Professional		$21.38	$28.84	$70.79