Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.11 / $84.81 / $163.77	Facility		$73.11	$84.81	$163.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $49.72 / $114.06	Professional		$29.25	$49.72	$114.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.05 / $140.18 / $169.95	Facility		$95.05	$140.18	$169.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $64.58 / $105.15	Professional		$54.02	$64.58	$105.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $128.55 / $154.05	Professional		$58.49	$128.55	$154.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.87 / $61.41 / $128.68	Facility		$43.87	$61.41	$128.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $58.49 / $78.95	Professional		$58.49	$58.49	$78.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $61.41 / $129.12	Facility		$58.49	$61.41	$129.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.41 / $73.98 / $141.93	Facility		$61.41	$73.98	$141.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.31 / $70.19 / $105.15	Professional		$62.31	$70.19	$105.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $114.06 / $177.99 / $229.63	Facility		$114.06	$177.99	$229.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $115.00 / $184.38	Professional		$103.54	$115.00	$184.38
United Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $24.57 / $61.41	Professional		$24.57	$24.57	$61.41