Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $83.18 / $239.88	Facility		$67.61	$83.18	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $44.67 / $97.72	Professional		$25.12	$44.67	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $125.89 / $154.88	Facility		$87.10	$125.89	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $57.54 / $95.50	Professional		$23.44	$57.54	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $114.82 / $141.25	Professional		$53.70	$114.82	$141.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $75.86	Facility		$53.70	$53.70	$75.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $74.13	Professional		$47.86	$57.54	$74.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $102.33	Facility		$53.70	$53.70	$102.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $74.13 / $154.88	Facility		$50.12	$74.13	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $79.43	Professional		$47.86	$60.26	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $162.18 / $218.78	Facility		$79.43	$162.18	$218.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $45.71 / $64.57	Professional		$42.66	$45.71	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $85.11	Facility		$64.57	$64.57	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.39 / $64.57	Professional		$19.95	$22.39	$64.57