Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $91.20 / $263.03	Facility		$72.44	$91.20	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $107.15	Professional		$38.02	$48.98	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $154.88 / $169.82	Facility		$95.50	$154.88	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $63.10 / $109.65	Professional		$28.84	$63.10	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $125.89 / $154.88	Professional		$58.88	$125.89	$154.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $87.10	Facility		$58.88	$58.88	$87.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $64.57 / $85.11	Professional		$58.88	$64.57	$85.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $112.20	Facility		$58.88	$58.88	$112.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $85.11 / $173.78	Facility		$54.95	$85.11	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $85.11	Professional		$52.48	$70.79	$85.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $177.83 / $239.88	Facility		$87.10	$177.83	$239.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $50.12 / $70.79	Professional		$46.77	$50.12	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $93.33	Facility		$70.79	$70.79	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $70.79	Professional		$24.55	$24.55	$70.79