Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.68 / $136.13 / $182.95	Facility		$81.68	$136.13	$182.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.04 / $65.34 / $127.41	Professional		$47.04	$65.34	$127.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.18 / $156.74 / $189.84	Facility		$106.18	$156.74	$189.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $72.06 / $117.49	Professional		$57.22	$72.06	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $143.47 / $171.92	Professional		$65.34	$143.47	$171.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.01 / $68.61 / $143.75	Facility		$49.01	$68.61	$143.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $65.34 / $88.21	Professional		$65.34	$65.34	$88.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $68.61 / $144.24	Facility		$65.34	$68.61	$144.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.61 / $82.66 / $156.74	Facility		$68.61	$82.66	$156.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.51 / $75.14 / $94.09	Professional		$65.51	$75.14	$94.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $127.41 / $198.83 / $269.95	Facility		$127.41	$198.83	$269.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $115.51 / $128.61 / $205.70	Professional		$115.51	$128.61	$205.70
United Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $27.44 / $68.61	Professional		$24.95	$27.44	$68.61