Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $83.18 / $245.47	Facility		$67.61	$83.18	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $67.61 / $501.19	Professional		$35.48	$67.61	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $144.54 / $186.21	Facility		$89.13	$144.54	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $77.62 / $97.72	Professional		$19.95	$77.62	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $117.49 / $138.04	Professional		$53.70	$117.49	$138.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $57.54	Facility		$53.70	$53.70	$57.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $63.10 / $77.62	Professional		$53.70	$63.10	$77.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $114.82	Facility		$53.70	$53.70	$114.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $75.86 / $158.49	Facility		$52.48	$75.86	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $60.26 / $85.11	Professional		$53.70	$60.26	$85.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $158.49 / $213.80	Facility		$81.28	$158.49	$213.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $48.98 / $64.57	Professional		$40.74	$48.98	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $87.10	Facility		$64.57	$64.57	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $64.57	Professional		$22.91	$22.91	$64.57