Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.69 / $99.40 / $191.94	Facility		$85.69	$99.40	$191.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.36 / $58.27 / $133.66	Professional		$49.36	$58.27	$133.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.40 / $156.74 / $199.18	Facility		$111.40	$156.74	$199.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.98 / $75.64 / $122.78	Professional		$59.98	$75.64	$122.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.55 / $150.56 / $180.43	Professional		$68.55	$150.56	$180.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.41 / $71.98 / $146.08	Facility		$51.41	$71.98	$146.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.55 / $68.55 / $92.54	Professional		$68.55	$68.55	$92.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $68.55 / $71.98 / $151.32	Facility		$68.55	$71.98	$151.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.98 / $86.72 / $156.74	Facility		$71.98	$86.72	$156.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.55 / $78.80 / $98.71	Professional		$68.55	$78.80	$98.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $133.66 / $208.60 / $283.20	Facility		$133.66	$208.60	$283.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $134.74 / $215.29	Professional		$120.90	$134.74	$215.29
United Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $28.79 / $71.98	Professional		$24.95	$28.79	$71.98