Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.06 / $68.51 / $132.30	Facility		$59.06	$68.51	$132.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $39.31 / $200.95	Professional		$32.50	$39.31	$200.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.78 / $118.23 / $191.59	Facility		$76.78	$118.23	$191.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.71 / $54.52 / $92.51	Professional		$49.71	$54.52	$92.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $103.68 / $124.26	Professional		$47.25	$103.68	$124.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.44 / $49.61 / $103.95	Facility		$35.44	$49.61	$103.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $47.25 / $63.79	Professional		$47.25	$47.25	$63.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $49.61 / $104.30	Facility		$47.25	$49.61	$104.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.61 / $59.77 / $118.23	Facility		$49.61	$59.77	$118.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.98 / $56.70 / $191.42	Professional		$51.98	$56.70	$191.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $92.14 / $143.78 / $185.50	Facility		$92.14	$143.78	$185.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.19 / $93.23 / $148.15	Professional		$83.19	$93.23	$148.15
United Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $19.85 / $49.61	Professional		$19.85	$19.85	$49.61