Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.12 / $100.62 / $291.72	Facility		$86.12	$100.62	$291.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $54.60 / $100.92	Professional		$37.35	$54.60	$100.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.65 / $62.65 / $62.65	Facility		$62.65	$62.65	$62.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $89.47 / $127.21	Professional		$57.43	$89.47	$127.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $92.35 / $117.08	Professional		$73.09	$92.35	$117.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.98 / $70.73 / $121.55	Facility		$41.98	$70.73	$121.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.38 / $85.58 / $122.02	Professional		$61.38	$85.58	$122.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.31 / $93.82 / $112.57	Facility		$62.31	$93.82	$112.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.37 / $71.89 / $121.85	Facility		$44.37	$71.89	$121.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.06 / $93.95 / $126.38	Professional		$61.06	$93.95	$126.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $272.27 / $358.21 / $468.62	Facility		$272.27	$358.21	$468.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $71.64 / $93.76 / $124.96	Professional		$71.64	$93.76	$124.96
United Facility/Professional Professional Modifier Low / Median / High Price $72.28 / $108.65 / $149.66	Professional		$72.28	$108.65	$149.66