Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $102.33 / $169.82	Facility		$70.79	$102.33	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $117.49	Professional		$70.79	$70.79	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $112.20 / $134.90	Facility		$66.07	$112.20	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $79.43	Professional		$70.79	$70.79	$79.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $181.97	Professional		$117.49	$151.36	$181.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $77.62 / $141.25	Facility		$70.79	$77.62	$141.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $75.86 / $107.15	Professional		$69.18	$75.86	$107.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $89.13 / $147.91	Facility		$70.79	$89.13	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $72.44 / $128.82	Facility		$70.79	$72.44	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $89.13	Professional		$70.79	$79.43	$89.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $114.82 / $199.53	Facility		$58.88	$114.82	$199.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $70.79 / $100.00	Professional		$67.61	$70.79	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $169.82	Facility		$70.79	$70.79	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $79.43	Professional		$70.79	$70.79	$79.43