Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.29 / $93.39 / $180.35	Facility		$77.29	$93.39	$180.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.41 / $62.48 / $349.45	Professional		$58.41	$62.48	$349.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.68 / $169.57 / $231.28	Facility		$104.68	$169.57	$231.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $73.93 / $115.73	Professional		$46.18	$73.93	$115.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $156.97 / $169.36	Professional		$64.41	$156.97	$169.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.43 / $69.70 / $134.33	Facility		$53.43	$69.70	$134.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $74.06 / $105.63	Professional		$64.41	$74.06	$105.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $69.00 / $142.19	Facility		$64.41	$69.00	$142.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $77.29 / $186.79	Facility		$64.41	$77.29	$186.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $80.51 / $105.46	Professional		$64.41	$80.51	$105.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $125.60 / $198.80 / $266.10	Facility		$125.60	$198.80	$266.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.65 / $82.11 / $158.36	Professional		$57.65	$82.11	$158.36
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $36.81 / $77.29	Professional		$27.05	$36.81	$77.29