Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.75 / $68.15 / $131.60	Facility		$58.75	$68.15	$131.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $39.31 / $133.72	Professional		$32.50	$39.31	$133.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.38 / $117.62 / $136.56	Facility		$76.38	$117.62	$136.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.71 / $54.12 / $92.51	Professional		$49.71	$54.12	$92.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $102.99 / $123.40	Professional		$47.00	$102.99	$123.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.25 / $49.35 / $103.40	Facility		$35.25	$49.35	$103.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $47.00 / $63.45	Professional		$47.00	$47.00	$63.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $49.35 / $103.75	Facility		$47.00	$49.35	$103.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.35 / $59.46 / $117.62	Facility		$49.35	$59.46	$117.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.70 / $56.40 / $92.51	Professional		$51.70	$56.40	$92.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $91.65 / $143.02 / $184.52	Facility		$91.65	$143.02	$184.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.19 / $92.55 / $148.15	Professional		$83.19	$92.55	$148.15
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $19.73 / $49.35	Professional		$19.73	$19.73	$49.35