Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.04 / $98.23 / $140.91	Facility		$89.04	$98.23	$140.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $73.73 / $148.15	Professional		$42.75	$73.73	$148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.30 / $64.30 / $64.30	Facility		$64.30	$64.30	$64.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $101.18 / $156.12	Professional		$61.56	$101.18	$156.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.79 / $100.81 / $139.63	Professional		$74.79	$100.81	$139.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.30 / $90.54 / $208.10	Facility		$51.30	$90.54	$208.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.80 / $103.28 / $180.37	Professional		$66.80	$103.28	$180.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79.73 / $110.55 / $183.40	Facility		$79.73	$110.55	$183.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.30 / $98.13 / $208.10	Facility		$51.30	$98.13	$208.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $104.40 / $152.36	Professional		$69.95	$104.40	$152.36
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 $75.98 / $106.37 / $152.85	Professional		$75.98	$106.37	$152.85
United Facility/Professional Professional Modifier Low / Median / High Price $87.49 / $127.26 / $186.48	Professional		$87.49	$127.26	$186.48