Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $142.37 / $200.99	Facility		$70.00	$142.37	$200.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.38 / $70.47 / $142.78	Professional		$53.38	$70.47	$142.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.77 / $250.00 / $250.00	Facility		$118.77	$250.00	$250.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $76.00 / $184.81	Professional		$49.00	$76.00	$184.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.56 / $147.24 / $193.46	Professional		$101.56	$147.24	$193.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.27 / $86.27 / $150.04	Facility		$66.27	$86.27	$150.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.17 / $119.60 / $191.95	Professional		$77.17	$119.60	$191.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $86.73 / $128.25 / $157.44	Facility		$86.73	$128.25	$157.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.28 / $84.98 / $151.30	Facility		$66.28	$84.98	$151.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $104.81 / $181.44	Professional		$63.18	$104.81	$181.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $100.33 / $169.22	Professional		$74.09	$100.33	$169.22
United Facility/Professional Professional Modifier Low / Median / High Price $58.61 / $101.82 / $192.56	Professional		$58.61	$101.82	$192.56