Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.11 / $69.01 / $133.25	Facility		$57.11	$69.01	$133.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $46.16 / $248.71	Professional		$25.89	$46.16	$248.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.33 / $125.27 / $170.87	Facility		$77.33	$125.27	$170.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.10 / $54.52 / $85.18	Professional		$34.10	$54.52	$85.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.59 / $115.94 / $125.12	Professional		$47.59	$115.94	$125.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.22 / $50.78 / $99.24	Facility		$25.22	$50.78	$99.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.59 / $54.73 / $82.95	Professional		$47.59	$54.73	$82.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.59 / $64.25 / $105.05	Facility		$47.59	$64.25	$105.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.22 / $57.58 / $138.01	Facility		$25.22	$57.58	$138.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.59 / $57.11 / $77.92	Professional		$47.59	$57.11	$77.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $92.80 / $146.88 / $196.61	Facility		$92.80	$146.88	$196.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.58 / $60.67 / $117.33	Professional		$42.58	$60.67	$117.33
United Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $27.20 / $57.11	Professional		$19.98	$27.20	$57.11