Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.98 / $88.22 / $96.75	Facility		$85.98	$88.22	$96.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.56 / $43.45 / $112.07	Professional		$37.56	$43.45	$112.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $60.29 / $60.29	Facility		$60.29	$60.29	$60.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.25 / $78.79 / $109.82	Professional		$53.25	$78.79	$109.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $84.88 / $96.63	Professional		$70.56	$84.88	$96.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $53.04 / $99.45	Facility		$36.95	$53.04	$99.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.24 / $71.80 / $117.75	Professional		$59.24	$71.80	$117.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.84 / $74.19 / $79.06	Facility		$48.84	$74.19	$79.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.56 / $54.38 / $101.26	Facility		$37.56	$54.38	$101.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $86.56 / $108.56	Professional		$55.10	$86.56	$108.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $95.48 / $125.24 / $153.24	Facility		$95.48	$125.24	$153.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.53 / $78.65 / $109.63	Professional		$60.53	$78.65	$109.63
United Facility/Professional Professional Modifier Low / Median / High Price $60.07 / $87.16 / $127.26	Professional		$60.07	$87.16	$127.26