Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.86 / $93.58 / $151.94	Facility		$74.86	$93.58	$151.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.61 / $76.73 / $104.32	Professional		$75.61	$76.73	$104.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $104.04 / $140.86	Facility		$71.67	$104.04	$140.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $82.42	Professional		$75.97	$75.97	$82.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $164.05 / $193.20	Professional		$73.67	$164.05	$193.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $108.64 / $163.34	Facility		$75.97	$108.64	$163.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $83.57 / $98.76	Professional		$75.97	$83.57	$98.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $74.86 / $87.44 / $174.13	Facility		$74.86	$87.44	$174.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $140.86 / $264.24	Facility		$75.97	$140.86	$264.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $91.90 / $173.41	Professional		$75.97	$91.90	$173.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $83.37 / $140.21 / $276.81	Facility		$83.37	$140.21	$276.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97
United Facility/Professional Facility Modifier Low / Median / High Price $155.74 / $155.74 / $182.33	Facility		$155.74	$155.74	$182.33
United Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97