Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.30 / $133.12 / $183.93	Facility		$83.30	$133.12	$183.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $52.62 / $98.53	Professional		$48.61	$52.62	$98.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.75 / $164.40 / $190.87	Facility		$106.75	$164.40	$190.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $72.43 / $118.08	Professional		$57.53	$72.43	$118.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.69 / $144.16 / $172.78	Professional		$65.69	$144.16	$172.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.27 / $68.97 / $144.52	Facility		$49.27	$68.97	$144.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.69 / $65.69 / $88.68	Professional		$65.69	$65.69	$88.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $68.97 / $145.01	Facility		$65.69	$68.97	$145.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.97 / $83.10 / $164.40	Facility		$68.97	$83.10	$164.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $75.54 / $94.59	Professional		$69.06	$75.54	$94.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $128.10 / $199.89 / $271.39	Facility		$128.10	$199.89	$271.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $116.11 / $129.29 / $206.77	Professional		$116.11	$129.29	$206.77
United Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $28.12 / $67.13	Professional		$27.59	$28.12	$67.13