Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.03 / $93.08 / $179.73	Facility		$77.03	$93.08	$179.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $62.26 / $110.59	Professional		$34.68	$62.26	$110.59
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 $21.31 / $67.54 / $115.14	Professional		$21.31	$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 $40.43 / $64.19 / $80.23	Professional		$40.43	$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 $38.36 / $70.61 / $89.87	Professional		$38.36	$70.61	$89.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $125.17 / $195.33 / $252.00	Facility		$125.17	$195.33	$252.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.37 / $58.41 / $158.36	Professional		$30.37	$58.41	$158.36
United Facility/Professional Facility Modifier Low / Median / High Price $96.29 / $96.29 / $102.70	Facility		$96.29	$96.29	$102.70
United Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $26.96 / $77.03	Professional		$16.96	$26.96	$77.03