Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $56.55 / $148.19	Facility		$48.75	$56.55	$148.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $37.83 / $106.35	Professional		$2.04	$37.83	$106.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.38 / $97.60 / $113.31	Facility		$63.38	$97.60	$113.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $40.98 / $69.91	Professional		$14.03	$40.98	$69.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $95.44 / $102.98	Professional		$39.00	$95.44	$102.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $39.00 / $81.33	Facility		$13.44	$39.00	$81.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $39.00 / $48.75	Professional		$11.91	$39.00	$48.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $40.95 / $86.09	Facility		$39.00	$40.95	$86.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.40 / $46.80 / $85.02	Facility		$28.40	$46.80	$85.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $42.90 / $54.60	Professional		$12.02	$42.90	$54.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $68.25 / $115.12 / $153.11	Facility		$68.25	$115.12	$153.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $35.49 / $96.00	Professional		$8.94	$35.49	$96.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $16.38 / $46.80	Professional		$11.21	$16.38	$46.80