Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.28 / $85.00 / $164.14	Facility		$73.28	$85.00	$164.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.21 / $51.24 / $114.31	Professional		$42.21	$51.24	$114.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.25 / $146.69 / $170.31	Facility		$95.25	$146.69	$170.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $62.31 / $108.93	Professional		$28.76	$62.31	$108.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $128.55 / $154.05	Professional		$58.62	$128.55	$154.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.76 / $80.80 / $143.59	Facility		$52.76	$80.80	$143.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $58.62 / $82.07	Professional		$58.62	$58.62	$82.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.62 / $64.48 / $129.40	Facility		$58.62	$64.48	$129.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.55 / $79.14 / $153.83	Facility		$61.55	$79.14	$153.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.70 / $67.26 / $84.41	Professional		$61.70	$67.26	$84.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $114.31 / $178.38 / $242.18	Facility		$114.31	$178.38	$242.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $115.00 / $184.38	Professional		$103.54	$115.00	$184.38
United Facility/Professional Facility Modifier Low / Median / High Price $87.93 / $87.93 / $93.79	Facility		$87.93	$87.93	$93.79
United Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $24.62 / $59.85	Professional		$24.48	$24.62	$59.85