Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $144.54 / $346.74	Facility		$87.10	$144.54	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $58.88 / $117.49	Professional		$19.95	$58.88	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $134.90 / $223.87	Facility		$125.89	$134.90	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $77.62 / $141.25	Professional		$25.12	$77.62	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $169.82 / $199.53	Professional		$77.62	$169.82	$199.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $83.18	Facility		$77.62	$77.62	$83.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $104.71	Professional		$51.29	$77.62	$104.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $147.91	Facility		$77.62	$77.62	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $107.15 / $229.09	Facility		$57.54	$107.15	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $109.65	Professional		$51.29	$79.43	$109.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $234.42 / $309.03	Facility		$117.49	$234.42	$309.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $66.07 / $93.33	Professional		$38.90	$66.07	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $123.03	Facility		$93.33	$93.33	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $32.36 / $93.33	Professional		$21.38	$32.36	$93.33