Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.66 / $89.58 / $133.28	Facility		$71.66	$89.58	$133.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $71.66 / $86.86	Professional		$66.64	$71.66	$86.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.87 / $62.87 / $130.30	Facility		$62.87	$62.87	$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 / $71.66 / $138.61	Facility		$66.64	$71.66	$138.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.87 / $111.24 / $195.18	Facility		$62.87	$111.24	$195.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.76 / $78.59 / $111.24	Professional		$64.76	$78.59	$111.24
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 Facility Modifier Low / Median / High Price $136.61 / $136.61 / $159.94	Facility		$136.61	$136.61	$159.94
United Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Professional		$66.64	$66.64	$66.64