Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.57 / $91.31 / $251.58	Facility		$0.57	$91.31	$251.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $81.28 / $184.17	Professional		$72.06	$81.28	$184.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $124.29 / $145.46	Facility		$69.06	$124.29	$145.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $85.51	Professional		$73.20	$73.20	$85.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.17 / $162.03 / $196.20	Professional		$127.17	$162.03	$196.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.75 / $78.78 / $157.38	Facility		$68.75	$78.78	$157.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $77.59 / $95.16	Professional		$73.20	$77.59	$95.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $72.45 / $73.20 / $151.61	Facility		$72.45	$73.20	$151.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.19 / $82.20 / $154.05	Facility		$73.19	$82.20	$154.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $90.88 / $98.15	Professional		$73.20	$90.88	$98.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $78.84 / $117.60 / $268.74	Facility		$78.84	$117.60	$268.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $80.52	Professional		$73.20	$73.20	$80.52
United Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $84.18	Professional		$73.20	$73.20	$84.18