Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.54 / $77.54 / $139.03	Facility		$77.54	$77.54	$139.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $75.15 / $90.93	Professional		$75.15	$75.15	$90.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.13 / $154.13 / $154.13	Facility		$154.13	$154.13	$154.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Professional		$80.88	$80.88	$80.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $164.76 / $197.44	Professional		$73.98	$164.76	$197.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.55 / $90.66 / $161.57	Facility		$51.55	$90.66	$161.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.45 / $79.65 / $17,728.12	Professional		$30.45	$79.65	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.76 / $79.65 / $155.96	Facility		$70.76	$79.65	$155.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.55 / $107.46 / $222.44	Facility		$51.55	$107.46	$222.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.51 / $80.88 / $88.61	Professional		$73.51	$80.88	$88.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $62.59 / $160.82 / $295.33	Facility		$62.59	$160.82	$295.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.86 / $77.86 / $77.86	Professional		$77.86	$77.86	$77.86
United Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $86.65 / $86.65	Professional		$81.59	$86.65	$86.65