Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.45 / $106.56 / $196.81	Facility		$87.45	$106.56	$196.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $73.48 / $207.37	Professional		$73.48	$73.48	$207.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.23 / $114.23 / $204.23	Facility		$114.23	$114.23	$204.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $77.42 / $77.42	Professional		$77.42	$77.42	$77.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.29 / $154.12 / $184.68	Professional		$70.29	$154.12	$184.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.48 / $73.80 / $158.00	Facility		$73.48	$73.80	$158.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.29 / $84.35 / $98.41	Professional		$70.29	$84.35	$98.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.29 / $77.31 / $105.44	Facility		$70.29	$77.31	$105.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.58 / $76.31 / $160.19	Facility		$35.58	$76.31	$160.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.03 / $69.95 / $89.03	Professional		$34.03	$69.95	$89.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $61.88 / $125.18 / $275.95	Facility		$61.88	$125.18	$275.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.35 / $173.13 / $202.35	Professional		$84.35	$173.13	$202.35
United Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $34.40 / $49.80	Professional		$29.52	$34.40	$49.80