Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.30 / $69.95 / $135.07	Facility		$60.30	$69.95	$135.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $41.98 / $94.07	Professional		$34.72	$41.98	$94.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.40 / $120.74 / $140.18	Facility		$78.40	$120.74	$140.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $51.19 / $89.41	Professional		$23.71	$51.19	$89.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $105.82 / $126.81	Professional		$48.24	$105.82	$126.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.42 / $66.20 / $117.03	Facility		$43.42	$66.20	$117.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $59.27 / $70.62	Professional		$48.24	$59.27	$70.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.24 / $53.06 / $106.49	Facility		$48.24	$53.06	$106.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.65 / $65.12 / $126.01	Facility		$50.65	$65.12	$126.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.55 / $55.32 / $69.47	Professional		$50.55	$55.32	$69.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $94.07 / $146.79 / $199.30	Facility		$94.07	$146.79	$199.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.99 / $94.59 / $151.34	Professional		$84.99	$94.59	$151.34
United Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $20.26 / $49.04	Professional		$20.05	$20.26	$49.04