Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.23 / $127.60 / $399.36	Facility		$74.23	$127.60	$399.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $49.65 / $300.58	Professional		$37.88	$49.65	$300.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $128.09 / $148.72	Facility		$83.18	$128.09	$148.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $54.52 / $100.22	Professional		$27.02	$54.52	$100.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.19 / $112.21 / $134.47	Professional		$51.19	$112.21	$134.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $74.52 / $134.46	Facility		$46.07	$74.52	$134.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.19 / $54.70 / $71.67	Professional		$51.19	$54.70	$71.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.19 / $55.35 / $113.00	Facility		$51.19	$55.35	$113.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.11 / $69.11 / $134.74	Facility		$56.11	$69.11	$134.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.52 / $60.17 / $76.70	Professional		$54.52	$60.17	$76.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $155.77 / $211.49	Facility		$99.82	$155.77	$211.49
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 $30.71 / $32.79 / $102.38	Professional		$30.71	$32.79	$102.38