Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $120.23 / $147.91	Facility		$60.26	$120.23	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $234.42	Professional		$60.26	$60.26	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $169.82 / $239.88	Facility		$54.95	$169.82	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $63.10	Professional		$60.26	$60.26	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $134.90 / $158.49	Professional		$60.26	$134.90	$158.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $66.07 / $120.23	Facility		$60.26	$66.07	$120.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $66.07 / $120.23	Professional		$60.26	$66.07	$120.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $61.66 / $158.49	Facility		$60.26	$61.66	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $213.80 / $501.19	Facility		$60.26	$213.80	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $70.79 / $213.80	Professional		$66.07	$70.79	$213.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $354.81 / $707.95	Facility		$245.47	$354.81	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $144.54	Facility		$60.26	$60.26	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $69.18	Professional		$60.26	$60.26	$69.18