Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.50 / $84.10 / $162.40	Facility		$72.50	$84.10	$162.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $49.30 / $113.10	Professional		$23.99	$49.30	$113.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.25 / $94.25 / $168.52	Facility		$94.25	$94.25	$168.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $61.09 / $103.98	Professional		$13.42	$61.09	$103.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $127.13 / $152.33	Professional		$58.00	$127.13	$152.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $60.14 / $120.96	Facility		$38.57	$60.14	$120.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $58.00 / $78.30	Professional		$28.40	$58.00	$78.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $58.00 / $128.04	Facility		$58.00	$58.00	$128.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.26 / $73.37 / $145.15	Facility		$56.26	$73.37	$145.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.33 / $63.80 / $83.52	Professional		$30.33	$63.80	$83.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $113.10 / $171.21 / $227.70	Facility		$113.10	$171.21	$227.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $102.34 / $114.32 / $182.25	Professional		$102.34	$114.32	$182.25
United Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $24.36 / $58.00	Professional		$11.46	$24.36	$58.00