Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.03 / $126.03 / $126.03	Facility		$126.03	$126.03	$126.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $42.98 / $98.59	Professional		$13.62	$42.98	$98.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.15 / $82.15 / $82.15	Facility		$82.15	$82.15	$82.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $53.12 / $79.16	Professional		$8.75	$53.12	$79.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $89.48 / $144.51	Professional		$50.56	$89.48	$144.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.83 / $47.53 / $985.80	Facility		$25.83	$47.53	$985.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $50.56 / $68.26	Professional		$19.22	$50.56	$68.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.56 / $50.56 / $75.84	Facility		$50.56	$50.56	$75.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.61 / $60.67 / $82.15	Facility		$33.61	$60.67	$82.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.74 / $55.62 / $72.81	Professional		$21.74	$55.62	$72.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $101.12 / $101.12 / $176.96	Facility		$101.12	$101.12	$176.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.18 / $99.35 / $162.34	Professional		$89.18	$99.35	$162.34
United Facility/Professional Professional Modifier Low / Median / High Price $30.34 / $50.56 / $157.26	Professional		$30.34	$50.56	$157.26