Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.95 / $88.16 / $170.24	Facility		$72.95	$88.16	$170.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $58.98 / $88.16	Professional		$11.11	$58.98	$88.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.80 / $152.15 / $176.65	Facility		$98.80	$152.15	$176.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $64.12 / $109.27	Professional		$8.52	$64.12	$109.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $148.29 / $159.99	Professional		$60.80	$148.29	$159.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.08 / $53.92 / $126.81	Facility		$15.08	$53.92	$126.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $60.80 / $76.00	Professional		$16.32	$60.80	$76.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $63.84 / $134.22	Facility		$60.80	$63.84	$134.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.40 / $72.95 / $132.54	Facility		$30.40	$72.95	$132.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $66.88 / $85.12	Professional		$15.50	$66.88	$85.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $106.40 / $179.48 / $238.69	Facility		$106.40	$179.48	$238.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $54.46 / $150.15	Professional		$12.27	$54.46	$150.15
United Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $25.54 / $72.95	Professional		$6.85	$25.54	$72.95