Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.33 / $87.07 / $284.74	Facility		$73.33	$87.07	$284.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $65.16 / $141.97	Professional		$47.67	$65.16	$141.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $108.00 / $120.00	Facility		$75.00	$108.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.02 / $68.53 / $140.94	Professional		$45.02	$68.53	$140.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.55 / $121.15 / $131.54	Professional		$99.55	$121.15	$131.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.69 / $74.81 / $140.27	Facility		$49.69	$74.81	$140.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.17 / $87.75 / $135.38	Professional		$59.17	$87.75	$135.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $65.66 / $100.50 / $105.19	Facility		$65.66	$100.50	$105.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.27 / $92.03 / $140.27	Facility		$51.27	$92.03	$140.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.58 / $94.06 / $141.51	Professional		$53.58	$94.06	$141.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $92.04 / $142.91 / $205.17	Facility		$92.04	$142.91	$205.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.84 / $91.37 / $144.44	Professional		$57.84	$91.37	$144.44
United Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $54.13 / $127.71	Professional		$48.72	$54.13	$127.71