Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.14 / $74.40 / $143.66	Facility		$64.14	$74.40	$143.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.61 / $52.07 / $308.80	Professional		$43.61	$52.07	$308.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.38 / $128.40 / $164.86	Facility		$83.38	$128.40	$164.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.49 / $66.78 / $100.86	Professional		$29.49	$66.78	$100.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $112.92 / $135.32	Professional		$51.31	$112.92	$135.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.47 / $53.88 / $112.88	Facility		$38.47	$53.88	$112.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $69.27	Professional		$51.31	$51.31	$69.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $53.88 / $89.79	Facility		$51.31	$53.88	$89.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.88 / $64.91 / $148.80	Facility		$53.88	$64.91	$148.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.44 / $62.09 / $80.70	Professional		$56.44	$62.09	$80.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $100.05 / $158.38 / $211.98	Facility		$100.05	$158.38	$211.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $90.37 / $100.71 / $160.94	Professional		$90.37	$100.71	$160.94
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $26.61 / $61.57	Professional		$21.55	$26.61	$61.57