Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.31 / $74.59 / $144.06	Facility		$64.31	$74.59	$144.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $39.31 / $217.76	Professional		$32.50	$39.31	$217.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.60 / $128.74 / $223.83	Facility		$83.60	$128.74	$223.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.26 / $59.30 / $100.86	Professional		$54.26	$59.30	$100.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $112.92 / $135.32	Professional		$51.45	$112.92	$135.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.59 / $54.02 / $113.19	Facility		$38.59	$54.02	$113.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $51.45 / $69.45	Professional		$51.45	$51.45	$69.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $54.02 / $113.58	Facility		$51.45	$54.02	$113.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $65.08 / $128.74	Facility		$54.02	$65.08	$128.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.60 / $61.74 / $168.52	Professional		$56.60	$61.74	$168.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $100.33 / $156.56 / $201.99	Facility		$100.33	$156.56	$201.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $90.97 / $101.39 / $162.00	Professional		$90.97	$101.39	$162.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $21.61 / $61.74	Professional		$21.61	$21.61	$61.74