Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $89.70 / $148.72	Facility		$74.45	$89.70	$148.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $77.36 / $4,257.00	Professional		$74.36	$77.36	$4,257.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.15 / $123.80 / $146.74	Facility		$70.15	$123.80	$146.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $84.18	Professional		$74.36	$74.36	$84.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.74 / $163.29 / $194.79	Professional		$124.74	$163.29	$194.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $78.08 / $159.87	Facility		$74.36	$78.08	$159.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $78.81 / $96.67	Professional		$74.36	$78.81	$96.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $85.58 / $223.08	Facility		$74.36	$85.58	$223.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $86.25 / $146.74	Facility		$74.36	$86.25	$146.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $86.25 / $94.70	Professional		$74.36	$86.25	$94.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $65.67 / $98.51 / $251.53	Facility		$65.67	$98.51	$251.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $89.23	Professional		$74.36	$74.36	$89.23
United Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $85.51	Professional		$74.36	$74.36	$85.51