Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.03 / $141.90 / $213.00	Facility		$61.03	$141.90	$213.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.31 / $46.10 / $60.83	Professional		$44.31	$46.10	$60.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.65 / $133.88 / $182.60	Facility		$82.65	$133.88	$182.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $58.23 / $91.06	Professional		$36.40	$58.23	$91.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $123.83 / $133.61	Professional		$50.86	$123.83	$133.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.10 / $63.95 / $169.32	Facility		$46.10	$63.95	$169.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $61.03 / $93.45	Professional		$50.86	$61.03	$93.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.86 / $68.66 / $112.27	Facility		$50.86	$68.66	$112.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.10 / $61.54 / $147.49	Facility		$46.10	$61.54	$147.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $61.03 / $83.26	Professional		$50.86	$61.03	$83.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $99.18 / $156.94 / $210.12	Facility		$99.18	$156.94	$210.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $64.81 / $125.54	Professional		$45.48	$64.81	$125.54
United Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $29.06 / $61.03	Professional		$21.36	$29.06	$61.03