Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.93 / $91.06 / $100.52	Facility		$59.93	$91.06	$100.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.92 / $53.78 / $135.00	Professional		$27.92	$53.78	$135.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $46.60 / $46.60	Facility		$46.60	$46.60	$46.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $80.03 / $118.99	Professional		$44.72	$80.03	$118.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $84.13 / $93.84	Professional		$62.05	$84.13	$93.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.78 / $63.66 / $106.60	Facility		$37.78	$63.66	$106.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.95 / $73.16 / $126.25	Professional		$57.95	$73.16	$126.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.57 / $78.23 / $83.64	Facility		$52.57	$78.23	$83.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $66.26 / $106.60	Facility		$40.40	$66.26	$106.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.80 / $88.01 / $111.11	Professional		$57.80	$88.01	$111.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $209.40 / $209.40 / $209.40	Facility		$209.40	$209.40	$209.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $97.90 / $126.93	Professional		$69.02	$97.90	$126.93
United Facility/Professional Professional Modifier Low / Median / High Price $52.77 / $77.36 / $123.01	Professional		$52.77	$77.36	$123.01