Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $97.72	Professional		$46.77	$60.26	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $218.78 / $269.15	Professional		$83.18	$218.78	$269.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $83.18 / $114.82	Facility		$66.07	$83.18	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $117.49	Professional		$81.28	$87.10	$117.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $107.15 / $112.20	Facility		$87.10	$107.15	$112.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $109.65 / $112.20	Professional		$97.72	$109.65	$112.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $91.20 / $138.04	Facility		$58.88	$91.20	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $95.50 / $114.82	Professional		$48.98	$95.50	$114.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $154.88 / $416.87	Facility		$91.20	$154.88	$416.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $123.03 / $123.03	Professional		$112.20	$123.03	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $162.18 / $218.78	Facility		$48.98	$162.18	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $95.50	Professional		$44.67	$50.12	$95.50