Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $89.13 / $229.09	Facility		$56.23	$89.13	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $46.77 / $79.43	Professional		$38.90	$46.77	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $134.90 / $190.55	Facility		$83.18	$134.90	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $58.88 / $91.20	Professional		$33.11	$58.88	$91.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $112.20 / $131.83	Professional		$51.29	$112.20	$131.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $57.54 / $74.13	Professional		$51.29	$57.54	$74.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $97.72	Facility		$51.29	$51.29	$97.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $70.79 / $151.36	Facility		$50.12	$70.79	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $81.28	Professional		$45.71	$57.54	$81.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $154.88 / $213.80	Facility		$77.62	$154.88	$213.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $72.44	Professional		$38.90	$51.29	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $81.28	Facility		$61.66	$61.66	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.20 / $61.66	Professional		$21.38	$30.20	$61.66