Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.23 / $148.94 / $291.64	Facility		$80.23	$148.94	$291.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $62.26 / $202.15	Professional		$39.53	$62.26	$202.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.30 / $160.62 / $186.49	Facility		$104.30	$160.62	$186.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $67.54 / $115.14	Professional		$28.42	$67.54	$115.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.19 / $156.18 / $168.51	Professional		$64.19	$156.18	$168.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.10 / $64.19 / $133.86	Facility		$32.10	$64.19	$133.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.91 / $64.19 / $80.23	Professional		$53.91	$64.19	$80.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.19 / $70.61 / $141.69	Facility		$64.19	$70.61	$141.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.10 / $77.03 / $160.62	Facility		$32.10	$77.03	$160.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $70.61 / $89.87	Professional		$51.17	$70.61	$89.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $125.17 / $195.33 / $265.19	Facility		$125.17	$195.33	$265.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.49 / $58.41 / $158.36	Professional		$40.49	$58.41	$158.36
United Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $26.96 / $64.19	Professional		$22.62	$26.96	$64.19