Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $117.49 / $338.84	Facility		$95.50	$117.49	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $61.66 / $125.89	Professional		$19.95	$61.66	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $218.78	Facility		$123.03	$123.03	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $81.28 / $117.49	Professional		$14.13	$81.28	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $162.18 / $199.53	Professional		$75.86	$162.18	$199.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $75.86 / $85.11	Facility		$74.13	$75.86	$85.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $75.86 / $104.71	Professional		$30.20	$75.86	$104.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $144.54	Facility		$75.86	$75.86	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $104.71 / $199.53	Facility		$56.23	$104.71	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $83.18 / $109.65	Professional		$31.62	$83.18	$109.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $223.87 / $295.12	Facility		$112.20	$223.87	$295.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $64.57 / $91.20	Professional		$30.20	$64.57	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $120.23	Facility		$91.20	$91.20	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $31.62 / $91.20	Professional		$12.59	$31.62	$91.20