Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.04 / $150.00 / $323.58	Facility		$54.04	$150.00	$323.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $31.83 / $154.00	Professional		$30.59	$31.83	$154.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.58 / $93.29 / $126.01	Facility		$60.58	$93.29	$126.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.22 / $45.53 / $73.23	Professional		$25.22	$45.53	$73.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $81.68 / $97.87	Professional		$37.27	$81.68	$97.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.95 / $51.69 / $117.03	Facility		$27.95	$51.69	$117.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $38.99 / $53.67	Professional		$37.27	$38.99	$53.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.27 / $39.13 / $82.27	Facility		$37.27	$39.13	$82.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.13 / $49.38 / $108.08	Facility		$39.13	$49.38	$108.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $45.53 / $58.60	Professional		$41.00	$45.53	$58.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $72.68 / $113.41 / $153.97	Facility		$72.68	$113.41	$153.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $73.48 / $117.24	Professional		$65.84	$73.48	$117.24
United Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $15.65 / $44.72	Professional		$15.65	$15.65	$44.72