Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.70 / $99.93 / $192.98	Facility		$82.70	$99.93	$192.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $66.84 / $301.11	Professional		$36.00	$66.84	$301.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $181.44 / $210.87	Facility		$112.00	$181.44	$210.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.68 / $85.37 / $123.37	Professional		$43.68	$85.37	$123.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $168.01 / $181.27	Professional		$68.92	$168.01	$181.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.53 / $68.92 / $143.72	Facility		$36.53	$68.92	$143.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $68.92 / $99.24	Professional		$68.92	$68.92	$99.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $68.92 / $75.81 / $152.13	Facility		$68.92	$75.81	$152.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.53 / $82.70 / $196.71	Facility		$36.53	$82.70	$196.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $76.98 / $98.56	Professional		$68.92	$76.98	$98.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $134.38 / $209.72 / $273.08	Facility		$134.38	$209.72	$273.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.70 / $105.34 / $169.84	Professional		$61.70	$105.34	$169.84
United Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $34.03 / $82.70	Professional		$28.95	$34.03	$82.70