Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $72.44 / $213.80	Facility		$58.88	$72.44	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $83.18	Professional		$32.36	$38.02	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $123.03 / $190.55	Facility		$77.62	$123.03	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $63.10 / $190.55	Professional		$41.69	$63.10	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $102.33 / $123.03	Professional		$46.77	$102.33	$123.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $54.95	Facility		$46.77	$46.77	$54.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $46.77 / $66.07	Professional		$38.90	$46.77	$66.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $100.00	Facility		$46.77	$46.77	$100.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $66.07 / $138.04	Facility		$44.67	$66.07	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $61.66 / $85.11	Professional		$46.77	$61.66	$85.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $138.04 / $186.21	Facility		$70.79	$138.04	$186.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $39.81 / $56.23	Professional		$38.02	$39.81	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $75.86	Facility		$56.23	$56.23	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $56.23	Professional		$19.95	$19.95	$56.23