Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.90 / $89.20 / $172.26	Facility		$76.90	$89.20	$172.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.29 / $59.67 / $119.96	Professional		$44.29	$59.67	$119.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.98 / $153.96 / $178.76	Facility		$99.98	$153.96	$178.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.39 / $67.79 / $110.44	Professional		$61.39	$67.79	$110.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $134.94 / $161.71	Professional		$61.52	$134.94	$161.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.14 / $64.59 / $135.34	Facility		$46.14	$64.59	$135.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $83.05	Professional		$61.52	$61.52	$83.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $64.59 / $135.81	Facility		$61.52	$64.59	$135.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.59 / $77.81 / $153.96	Facility		$64.59	$77.81	$153.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.88 / $70.75 / $88.59	Professional		$64.88	$70.75	$88.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $119.96 / $187.21 / $241.52	Facility		$119.96	$187.21	$241.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $108.93 / $121.13 / $193.98	Professional		$108.93	$121.13	$193.98
United Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $25.84 / $73.81	Professional		$25.84	$25.84	$73.81