Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.99 / $71.91 / $138.85	Facility		$61.99	$71.91	$138.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.15 / $48.10 / $96.70	Professional		$42.15	$48.10	$96.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.58 / $124.09 / $178.04	Facility		$80.58	$124.09	$178.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $64.50 / $88.71	Professional		$43.45	$64.50	$88.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $108.67 / $130.22	Professional		$49.59	$108.67	$130.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.19 / $52.07 / $109.10	Facility		$37.19	$52.07	$109.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $49.59 / $67.55	Professional		$49.59	$49.59	$67.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.59 / $52.07 / $109.47	Facility		$49.59	$52.07	$109.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.07 / $62.73 / $143.81	Facility		$52.07	$62.73	$143.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $60.00 / $79.34	Professional		$54.55	$60.00	$79.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $96.70 / $153.05 / $204.88	Facility		$96.70	$153.05	$204.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.38 / $97.31 / $155.61	Professional		$87.38	$97.31	$155.61
United Facility/Professional Facility Modifier Low / Median / High Price $74.39 / $74.39 / $79.34	Facility		$74.39	$74.39	$79.34
United Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $28.34 / $59.51	Professional		$20.83	$28.34	$59.51