Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.12 / $83.12 / $83.12	Facility		$83.12	$83.12	$83.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.11 / $50.38 / $288.43	Professional		$50.11	$50.38	$288.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.95 / $65.95 / $65.95	Facility		$65.95	$65.95	$65.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $65.95 / $77.11	Professional		$56.07	$65.95	$77.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $83.56 / $266.48	Professional		$64.98	$83.56	$266.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.11 / $110.66 / $126.90	Facility		$50.11	$110.66	$126.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $90.14 / $120.56	Professional		$10.31	$90.14	$120.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $92.84 / $110.66 / $123.93	Facility		$92.84	$110.66	$123.93
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $92.84 / $97.42 / $117.81	Professional		$92.84	$97.42	$117.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.11 / $94.68 / $147.16	Facility		$50.11	$94.68	$147.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $87.94 / $112.65	Professional		$65.95	$87.94	$112.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $141.33 / $141.33 / $166.24	Facility		$141.33	$141.33	$166.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.83 / $95.83 / $95.83	Professional		$95.83	$95.83	$95.83
United Facility/Professional Professional Modifier Low / Median / High Price $49.87 / $49.87 / $95.83	Professional		$49.87	$49.87	$95.83