Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.65 / $80.53 / $155.51	Facility		$66.65	$80.53	$155.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $53.87 / $206.39	Professional		$53.87	$53.87	$206.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.25 / $146.21 / $263.30	Facility		$90.25	$146.21	$263.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $64.02 / $99.87	Professional		$37.94	$64.02	$99.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.54 / $135.68 / $146.38	Professional		$55.54	$135.68	$146.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.77 / $57.79 / $115.82	Facility		$27.77	$57.79	$115.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.54 / $55.54 / $75.53	Professional		$55.54	$55.54	$75.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.54 / $61.09 / $122.60	Facility		$55.54	$61.09	$122.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.79 / $70.26 / $161.07	Facility		$57.79	$70.26	$161.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $61.09 / $77.76	Professional		$52.76	$61.09	$77.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $108.30 / $169.01 / $218.04	Facility		$108.30	$169.01	$218.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.82 / $72.20 / $137.02	Professional		$49.82	$72.20	$137.02
United Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $23.33 / $66.65	Professional		$23.33	$23.33	$66.65