Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.56 / $101.29 / $186.04	Facility		$54.56	$101.29	$186.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $45.08 / $82.94	Professional		$37.10	$45.08	$82.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.93 / $109.22 / $156.74	Facility		$70.93	$109.22	$156.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $56.92 / $78.13	Professional		$38.25	$56.92	$78.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $95.89 / $114.91	Professional		$43.65	$95.89	$114.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.74 / $45.83 / $96.03	Facility		$32.74	$45.83	$96.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $48.02 / $59.46	Professional		$43.65	$48.02	$59.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $45.83 / $96.36	Facility		$43.65	$45.83	$96.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.83 / $55.22 / $126.59	Facility		$45.83	$55.22	$126.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $53.78 / $69.84	Professional		$48.02	$53.78	$69.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $134.72 / $180.34	Facility		$85.12	$134.72	$180.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $85.74 / $137.49	Professional		$77.20	$85.74	$137.49
United Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $18.32 / $52.38	Professional		$18.32	$18.32	$52.38