Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.09 / $77.56 / $161.04	Facility		$32.09	$77.56	$161.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $63.06 / $233.21	Professional		$32.40	$63.06	$233.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.49 / $137.34 / $161.91	Facility		$59.49	$137.34	$161.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $68.41	Professional		$63.06	$63.06	$68.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $70.30 / $212.78	Professional		$31.57	$70.30	$212.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $90.18 / $362.02	Facility		$63.06	$90.18	$362.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $69.37 / $85.73	Professional		$63.06	$69.37	$85.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.09 / $65.44 / $189.18	Facility		$32.09	$65.44	$189.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $137.34 / $286.05	Facility		$63.06	$137.34	$286.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.41 / $101.10 / $206.63	Professional		$68.41	$101.10	$206.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $161.07 / $253.17 / $588.86	Facility		$161.07	$253.17	$588.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $63.06	Professional		$63.06	$63.06	$63.06
United Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $70.20	Professional		$63.06	$63.06	$70.20