Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.42 / $73.42 / $172.76	Facility		$73.42	$73.42	$172.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $71.70 / $188.49	Professional		$71.70	$71.70	$188.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.70 / $78.70 / $146.84	Facility		$78.70	$78.70	$146.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Professional		$73.42	$73.42	$73.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.86 / $122.16 / $146.38	Professional		$54.86	$122.16	$146.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.70 / $102.53 / $154.16	Facility		$71.70	$102.53	$154.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.96 / $64.79 / $147.25	Professional		$58.96	$64.79	$147.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.12 / $57.12 / $79,999.20	Facility		$57.12	$57.12	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.34 / $95.02 / $154.16	Facility		$67.34	$95.02	$154.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $70.29 / $136.85	Professional		$67.34	$70.29	$136.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $56.07 / $85.84 / $194.12	Facility		$56.07	$85.84	$194.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Professional		$73.42	$73.42	$73.42
United Facility/Professional Facility Modifier Low / Median / High Price $120.75 / $120.75 / $141.36	Facility		$120.75	$120.75	$141.36
United Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $71.98 / $86.38	Professional		$71.98	$71.98	$86.38