Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.84 / $77.53 / $149.72	Facility		$66.84	$77.53	$149.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $46.49 / $104.27	Professional		$38.50	$46.49	$104.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.90 / $125.52 / $155.38	Facility		$86.90	$125.52	$155.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $56.75 / $95.76	Professional		$23.53	$56.75	$95.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $117.18 / $140.43	Professional		$53.47	$117.18	$140.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.12 / $71.18 / $117.03	Facility		$48.12	$71.18	$117.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.51 / $53.47 / $72.18	Professional		$49.51	$53.47	$72.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.47 / $58.82 / $118.04	Facility		$53.47	$58.82	$118.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.14 / $67.91 / $133.83	Facility		$56.14	$67.91	$133.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.46 / $58.87 / $77.00	Professional		$52.46	$58.87	$77.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $104.27 / $162.71 / $220.91	Facility		$104.27	$162.71	$220.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $94.56 / $105.48 / $168.40	Professional		$94.56	$105.48	$168.40
United Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $22.46 / $53.47	Professional		$19.98	$22.46	$53.47