Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $83.52 / $159.08	Facility		$45.71	$83.52	$159.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $33.17 / $46.31	Professional		$31.41	$33.17	$46.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.43 / $96.27 / $131.31	Facility		$59.43	$96.27	$131.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $42.13 / $65.80	Professional		$26.28	$42.13	$65.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $89.13 / $96.18	Professional		$36.57	$89.13	$96.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.88 / $43.81 / $122.01	Facility		$31.88	$43.81	$122.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $43.88 / $73.56	Professional		$36.57	$43.88	$73.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.57 / $49.37 / $90.20	Facility		$36.57	$49.37	$90.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.88 / $44.25 / $106.05	Facility		$31.88	$44.25	$106.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $45.71 / $59.87	Professional		$36.57	$45.71	$59.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $71.31 / $112.85 / $151.09	Facility		$71.31	$112.85	$151.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $46.61 / $90.26	Professional		$32.72	$46.61	$90.26
United Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $20.90 / $43.88	Professional		$15.36	$20.90	$43.88