Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.55 / $86.19 / $147.88	Facility		$73.55	$86.19	$147.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $74.28 / $126.50	Professional		$73.94	$74.28	$126.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.75 / $119.48 / $140.76	Facility		$69.75	$119.48	$140.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $83.70	Professional		$73.94	$73.94	$83.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.10 / $161.16 / $192.24	Professional		$123.10	$161.16	$192.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.55 / $77.64 / $158.97	Facility		$73.55	$77.64	$158.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $78.37 / $96.12	Professional		$73.94	$78.37	$96.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $73.55 / $84.58 / $221.82	Facility		$73.55	$84.58	$221.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $82.88 / $139.99	Facility		$73.94	$82.88	$139.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.93 / $82.88 / $92.82	Professional		$72.93	$82.88	$92.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $59.68 / $106.67 / $224.65	Facility		$59.68	$106.67	$224.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $81.33	Professional		$73.94	$73.94	$81.33
United Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $85.03	Professional		$73.94	$73.94	$85.03