Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $190.55	Facility		$151.36	$151.36	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $34.67 / $77.62	Professional		$13.80	$34.67	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $45.71 / $75.86	Professional		$8.13	$45.71	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $72.44 / $120.23	Professional		$42.66	$72.44	$120.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $42.66 / $57.54	Facility		$28.84	$42.66	$57.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $42.66 / $58.88	Professional		$14.45	$42.66	$58.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $66.07	Facility		$42.66	$42.66	$66.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $47.86 / $74.13	Facility		$19.50	$47.86	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $46.77 / $75.86	Professional		$15.85	$46.77	$75.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $147.91	Facility		$85.11	$85.11	$147.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $35.48 / $50.12	Professional		$33.11	$35.48	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.92 / $131.83	Professional		$25.12	$26.92	$131.83