Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.26 / $81.23 / $132.00	Facility		$65.26	$81.23	$132.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.66 / $113.55	Professional		$66.00	$66.66	$113.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.26 / $109.04 / $130.56	Facility		$62.26	$109.04	$130.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $74.72	Professional		$66.00	$66.00	$74.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.67 / $143.96 / $178.00	Professional		$113.67	$143.96	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.26 / $69.30 / $141.90	Facility		$65.26	$69.30	$141.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $69.95 / $85.80	Professional		$66.00	$69.95	$85.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $65.25 / $75.95 / $198.00	Facility		$65.25	$75.95	$198.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $78.11 / $130.56	Facility		$66.00	$78.11	$130.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $78.11 / $84.05	Professional		$66.00	$78.11	$84.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $60.14 / $90.21 / $200.63	Facility		$60.14	$90.21	$200.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $79.20	Professional		$66.00	$66.00	$79.20
United Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $75.90	Professional		$66.00	$66.00	$75.90