Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.30 / $118.84 / $216.00	Facility		$71.30	$118.84	$216.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $70.00 / $98.89	Professional		$28.52	$70.00	$98.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.70 / $142.76 / $296.45	Facility		$92.70	$142.76	$296.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $62.79 / $102.22	Professional		$49.88	$62.79	$102.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $124.99 / $149.78	Professional		$57.04	$124.99	$149.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.78 / $59.89 / $138.61	Facility		$42.78	$59.89	$138.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $57.04 / $77.00	Professional		$57.04	$57.04	$77.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.04 / $59.89 / $125.92	Facility		$57.04	$59.89	$125.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.89 / $72.16 / $142.76	Facility		$59.89	$72.16	$142.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.46 / $68.45 / $102.22	Professional		$60.46	$68.45	$102.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $111.23 / $173.57 / $223.93	Facility		$111.23	$173.57	$223.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $100.55 / $112.28 / $179.05	Professional		$100.55	$112.28	$179.05
United Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $23.96 / $68.45	Professional		$23.96	$23.96	$68.45