Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $89.13 / $263.03	Facility		$72.44	$89.13	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $46.77 / $107.15	Professional		$18.20	$46.77	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $169.82	Facility		$93.33	$93.33	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $61.66 / $104.71	Professional		$13.49	$61.66	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $125.89 / $151.36	Professional		$57.54	$125.89	$151.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $57.54 / $77.62	Facility		$53.70	$57.54	$77.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $57.54 / $81.28	Professional		$27.54	$57.54	$81.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $109.65	Facility		$57.54	$57.54	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $81.28 / $169.82	Facility		$38.02	$81.28	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $63.10 / $83.18	Professional		$29.51	$63.10	$83.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $169.82 / $229.09	Facility		$87.10	$169.82	$229.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $48.98 / $69.18	Professional		$46.77	$48.98	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $93.33	Facility		$69.18	$69.18	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $24.55 / $60.26	Professional		$11.48	$24.55	$60.26