Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.92 / $96.92 / $96.92	Facility		$96.92	$96.92	$96.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.38 / $58.67 / $336.00	Professional		$58.38	$58.67	$336.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.15 / $78.15 / $78.15	Facility		$78.15	$78.15	$78.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $78.15 / $92.68	Professional		$66.43	$78.15	$92.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.39 / $100.78 / $310.74	Professional		$78.39	$100.78	$310.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.38 / $102.65 / $136.60	Facility		$58.38	$102.65	$136.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $102.47 / $129.77	Professional		$11.20	$102.47	$129.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $111.98 / $123.18 / $134.49	Facility		$111.98	$123.18	$134.49
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $111.98 / $117.29 / $133.32	Professional		$111.98	$117.29	$133.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.38 / $97.76 / $136.60	Facility		$58.38	$97.76	$136.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.15 / $102.46 / $129.83	Professional		$78.15	$102.46	$129.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $164.64 / $164.64 / $193.66	Facility		$164.64	$164.64	$193.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $111.67 / $111.67 / $111.67	Professional		$111.67	$111.67	$111.67
United Facility/Professional Professional Modifier Low / Median / High Price $55.45 / $58.10 / $111.67	Professional		$55.45	$58.10	$111.67