Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $62.14 / $270.31	Facility		$62.14	$62.14	$270.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $60.28 / $296.57	Professional		$60.28	$60.28	$296.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.98 / $163.58 / $207.69	Facility		$100.98	$163.58	$207.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $51.77 / $81.09	Professional		$32.68	$51.77	$81.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $151.46 / $163.40	Professional		$62.14	$151.46	$163.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.33 / $62.14 / $129.60	Facility		$32.33	$62.14	$129.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $68.34 / $89.48	Professional		$62.14	$68.34	$89.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $65.25 / $93.21	Facility		$62.14	$65.25	$93.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.56 / $74.56 / $207.69	Facility		$74.56	$74.56	$207.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.93 / $68.34 / $88.86	Professional		$55.93	$68.34	$88.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $121.17 / $189.09 / $256.73	Facility		$121.17	$189.09	$256.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.61 / $93.38 / $153.43	Professional		$55.61	$93.38	$153.43
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $33.52 / $79.81	Professional		$26.10	$33.52	$79.81