Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.45 / $48.45 / $79.55	Facility		$48.45	$48.45	$79.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $58.40 / $103.75	Professional		$38.89	$58.40	$103.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.91 / $52.91 / $52.91	Facility		$52.91	$52.91	$52.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.14 / $57.14 / $57.14	Professional		$57.14	$57.14	$57.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.89 / $103.15 / $159.13	Professional		$74.89	$103.15	$159.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.58 / $86.73 / $152.28	Facility		$51.58	$86.73	$152.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $102.48 / $155.28	Professional		$64.34	$102.48	$155.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.80 / $123.95 / $129.97	Facility		$78.80	$123.95	$129.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.55 / $90.20 / $162.18	Facility		$52.55	$90.20	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.88 / $111.15 / $164.12	Professional		$74.88	$111.15	$164.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $326.76 / $441.42 / $488.97	Facility		$326.76	$441.42	$488.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.69 / $107.73 / $171.95	Professional		$66.69	$107.73	$171.95
United Facility/Professional Professional Modifier Low / Median / High Price $87.48 / $129.03 / $195.81	Professional		$87.48	$129.03	$195.81