Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.20 / $140.35 / $188.61	Facility		$84.20	$140.35	$188.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $65.34 / $365.47	Professional		$65.34	$65.34	$365.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.45 / $177.31 / $241.85	Facility		$109.45	$177.31	$241.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $77.23 / $121.02	Professional		$48.31	$77.23	$121.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $164.07 / $177.02	Professional		$67.36	$164.07	$177.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.70 / $71.87 / $140.47	Facility		$35.70	$71.87	$140.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $77.45 / $95.40	Professional		$67.36	$77.45	$95.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.36 / $90.94 / $148.69	Facility		$67.36	$90.94	$148.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.70 / $80.83 / $195.34	Facility		$35.70	$80.83	$195.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $84.20 / $110.27	Professional		$67.36	$84.20	$110.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $131.35 / $207.90 / $278.29	Facility		$131.35	$207.90	$278.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $85.86 / $165.74	Professional		$60.25	$85.86	$165.74
United Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $38.50 / $80.83	Professional		$28.29	$38.50	$80.83