Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.28 / $94.28 / $94.28	Facility		$94.28	$94.28	$94.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.95 / $56.95 / $327.78	Professional		$56.95	$56.95	$327.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.67 / $74.67 / $74.67	Facility		$74.67	$74.67	$74.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $74.67 / $88.56	Professional		$63.47	$74.67	$88.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $97.10 / $302.27	Professional		$75.52	$97.10	$302.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.95 / $103.14 / $137.22	Facility		$56.95	$103.14	$137.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $102.50 / $113.28	Professional		$10.85	$102.50	$113.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $107.89 / $117.39 / $134.01	Facility		$107.89	$117.39	$134.01
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $107.89 / $114.34 / $131.49	Professional		$107.89	$114.34	$131.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.95 / $98.23 / $137.22	Facility		$56.95	$98.23	$137.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.67 / $99.95 / $125.70	Professional		$74.67	$99.95	$125.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $160.61 / $160.61 / $188.92	Facility		$160.61	$160.61	$188.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $108.93 / $108.93 / $108.93	Professional		$108.93	$108.93	$108.93
United Facility/Professional Professional Modifier Low / Median / High Price $55.73 / $56.68 / $108.93	Professional		$55.73	$56.68	$108.93