Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.14 / $74.40 / $143.66	Facility		$64.14	$74.40	$143.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $49.77 / $100.05	Professional		$37.97	$49.77	$100.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.38 / $128.40 / $184.27	Facility		$83.38	$128.40	$184.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.74 / $66.78 / $100.86	Professional		$34.74	$66.78	$100.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $112.92 / $135.32	Professional		$51.31	$112.92	$135.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.47 / $71.17 / $170.98	Facility		$38.47	$71.17	$170.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $57.02 / $72.68	Professional		$51.31	$57.02	$72.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $53.88 / $113.27	Facility		$51.31	$53.88	$113.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.88 / $67.98 / $151.36	Facility		$53.88	$67.98	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.44 / $63.21 / $82.11	Professional		$56.44	$63.21	$82.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $100.05 / $158.38 / $211.98	Facility		$100.05	$158.38	$211.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $90.37 / $100.71 / $160.94	Professional		$90.37	$100.71	$160.94
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $29.33 / $61.57	Professional		$21.55	$29.33	$61.57