Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $109.62 / $211.68	Facility		$94.50	$109.62	$211.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $71.06 / $143.63	Professional		$25.44	$71.06	$143.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.85 / $122.85 / $219.66	Facility		$122.85	$122.85	$219.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.92 / $79.68 / $135.69	Professional		$14.92	$79.68	$135.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $184.58 / $199.16	Professional		$75.59	$184.58	$199.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.06 / $73.33 / $157.66	Facility		$55.06	$73.33	$157.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.20 / $75.59 / $102.06	Professional		$36.20	$75.59	$102.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.59 / $79.38 / $166.89	Facility		$75.59	$79.38	$166.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.06 / $90.72 / $157.66	Facility		$55.06	$90.72	$157.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $83.16 / $108.86	Professional		$32.92	$83.16	$108.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $147.41 / $223.16 / $296.80	Facility		$147.41	$223.16	$296.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $140.49 / $200.43	Professional		$29.93	$140.49	$200.43
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $31.75 / $79.38	Professional		$12.57	$31.75	$79.38