Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $97.72 / $158.49	Facility		$69.18	$97.72	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $70.79 / $87.10	Professional		$69.18	$70.79	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $93.33 / $128.82	Facility		$66.07	$93.33	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $75.86	Professional		$69.18	$69.18	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $144.54 / $169.82	Professional		$66.07	$144.54	$169.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $74.13 / $138.04	Facility		$63.10	$74.13	$138.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $74.13 / $91.20	Professional		$69.18	$74.13	$91.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $83.18 / $138.04	Facility		$66.07	$83.18	$138.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $93.33 / $194.98	Facility		$69.18	$93.33	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $81.28	Professional		$64.57	$75.86	$81.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $100.00 / $223.87	Facility		$67.61	$100.00	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $165.96	Facility		$69.18	$69.18	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18