Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.66 / $80.81 / $133.28	Facility		$71.66	$80.81	$133.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $71.66 / $166.11	Professional		$66.64	$71.66	$166.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.87 / $93.30 / $130.30	Facility		$62.87	$93.30	$130.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $72.30	Professional		$66.64	$66.64	$72.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $157.66 / $182.65	Professional		$66.64	$157.66	$182.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $95.30 / $143.28	Facility		$66.64	$95.30	$143.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $70.64 / $86.63	Professional		$66.64	$70.64	$86.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $83.30 / $148.72	Facility		$66.64	$83.30	$148.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $93.30 / $143.28	Facility		$66.64	$93.30	$143.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.17 / $72.30 / $85.83	Professional		$59.17	$72.30	$85.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $67.89 / $112.71 / $238.06	Facility		$67.89	$112.71	$238.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Professional		$66.64	$66.64	$66.64
United Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Professional		$66.64	$66.64	$66.64