Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.12 / $122.33 / $311.60	Facility		$55.12	$122.33	$311.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.06 / $87.39 / $360.00	Professional		$46.06	$87.39	$360.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $61.58 / $61.58	Facility		$61.58	$61.58	$61.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $48.80 / $48.80	Professional		$48.80	$48.80	$48.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.20 / $116.70 / $143.72	Professional		$99.20	$116.70	$143.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.50 / $78.52 / $128.35	Facility		$47.50	$78.52	$128.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.42 / $94.96 / $152.78	Professional		$59.42	$94.96	$152.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.64 / $101.17 / $109.21	Facility		$64.64	$101.17	$109.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.07 / $94.95 / $139.01	Facility		$49.07	$94.95	$139.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $114.26 / $148.60	Professional		$48.80	$114.26	$148.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $96.95 / $167.06 / $224.61	Facility		$96.95	$167.06	$224.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.72 / $120.35 / $153.50	Professional		$87.72	$120.35	$153.50
United Facility/Professional Professional Modifier Low / Median / High Price $69.08 / $106.39 / $167.84	Professional		$69.08	$106.39	$167.84