Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.15 / $62.15 / $124.30	Facility		$62.15	$62.15	$124.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.79 / $62.41 / $235.95	Professional		$61.79	$62.41	$235.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $171.14 / $239.43	Facility		$55.28	$171.14	$239.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $63.57	Professional		$61.80	$61.80	$63.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $136.37 / $445.12	Professional		$61.24	$136.37	$445.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.80 / $88.37 / $307.27	Facility		$61.80	$88.37	$307.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $67.98 / $80.34	Professional		$61.80	$67.98	$80.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.65 / $62.15 / $185.40	Facility		$60.65	$62.15	$185.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $239.43 / $505.57	Facility		$55.28	$239.43	$505.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $72.88 / $213.50	Professional		$61.80	$72.88	$213.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $242.91 / $419.58 / $715.05	Facility		$242.91	$419.58	$715.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $61.80	Professional		$61.80	$61.80	$61.80
United Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $71.06	Professional		$61.80	$61.80	$71.06