Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $79.43 / $229.09	Facility		$64.57	$79.43	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $85.11	Professional		$32.36	$47.86	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $134.90 / $186.21	Facility		$83.18	$134.90	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $54.95 / $100.00	Professional		$33.88	$54.95	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $109.65 / $134.90	Professional		$51.29	$109.65	$134.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $58.88	Facility		$51.29	$51.29	$58.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $57.54 / $74.13	Professional		$51.29	$57.54	$74.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $97.72	Facility		$51.29	$51.29	$97.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $74.13 / $154.88	Facility		$47.86	$74.13	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $83.18	Professional		$51.29	$67.61	$83.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $154.88 / $213.80	Facility		$77.62	$154.88	$213.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $43.65 / $61.66	Professional		$41.69	$43.65	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $81.28	Facility		$61.66	$61.66	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $29.51 / $61.66	Professional		$21.38	$29.51	$61.66