Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.05 / $103.71 / $130.59	Facility		$75.05	$103.71	$130.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $75.05 / $201.35	Professional		$64.62	$75.05	$201.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $87.93 / $131.91	Facility		$60.96	$87.93	$131.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $70.09	Professional		$64.62	$64.62	$70.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $163.40 / $190.86	Professional		$64.62	$163.40	$190.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $92.41 / $138.93	Facility		$18.50	$92.41	$138.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $68.50 / $80.78	Professional		$64.62	$68.50	$80.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $84.01 / $156.10	Facility		$64.62	$84.01	$156.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $99.53 / $167.28	Facility		$60.96	$99.53	$167.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $70.09 / $82.29	Professional		$13.20	$70.09	$82.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $78.87 / $165.93 / $287.52	Facility		$78.87	$165.93	$287.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Professional		$64.62	$64.62	$64.62
United Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Professional		$64.62	$64.62	$64.62