Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.88 / $80.02 / $206.34	Facility		$67.88	$80.02	$206.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $55.66 / $125.00	Professional		$35.29	$55.66	$125.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.25 / $142.97 / $185.80	Facility		$88.25	$142.97	$185.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $62.36 / $97.52	Professional		$19.76	$62.36	$97.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $132.52 / $142.97	Professional		$54.30	$132.52	$142.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $56.50 / $113.24	Facility		$27.15	$56.50	$113.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $54.30 / $78.19	Professional		$54.30	$54.30	$78.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $54.30 / $59.73 / $119.87	Facility		$54.30	$59.73	$119.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $68.69 / $157.47	Facility		$56.50	$68.69	$157.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.59 / $59.73 / $76.02	Professional		$51.59	$59.73	$76.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $105.89 / $165.23 / $213.18	Facility		$105.89	$165.23	$213.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $70.59 / $133.74	Professional		$48.66	$70.59	$133.74
United Facility/Professional Facility Modifier Low / Median / High Price $81.45 / $81.45 / $86.88	Facility		$81.45	$81.45	$86.88
United Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $22.81 / $65.16	Professional		$22.81	$22.81	$65.16