Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $117.49 / $194.98	Facility		$85.11	$117.49	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $117.49	Professional		$83.18	$85.11	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $134.90 / $158.49	Facility		$79.43	$134.90	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $95.50	Professional		$85.11	$85.11	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $208.93	Professional		$134.90	$173.78	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $89.13 / $169.82	Facility		$85.11	$89.13	$169.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $89.13 / $117.49	Professional		$83.18	$89.13	$117.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $102.33 / $169.82	Facility		$81.28	$102.33	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $87.10 / $154.88	Facility		$85.11	$87.10	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $89.13 / $107.15	Professional		$79.43	$89.13	$107.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $138.04 / $239.88	Facility		$70.79	$138.04	$239.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $85.11 / $117.49	Professional		$79.43	$85.11	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $204.17	Facility		$85.11	$85.11	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $95.50	Professional		$85.11	$85.11	$95.50