Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.22 / $85.22 / $148.72	Facility		$85.22	$85.22	$148.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $21.00 / $33.15	Professional		$10.36	$21.00	$33.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.55 / $85.55 / $99.32	Facility		$55.55	$85.55	$99.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $39.24 / $2,893.04	Professional		$20.51	$39.24	$2,893.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $83.62 / $90.22	Professional		$34.19	$83.62	$90.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $34.19 / $71.29	Facility		$12.51	$34.19	$71.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $37.61 / $46.50	Professional		$34.19	$37.61	$46.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.77 / $38.63 / $59.83	Facility		$30.77	$38.63	$59.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.03 / $47.52 / $99.15	Facility		$41.03	$47.52	$99.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $37.61 / $47.87	Professional		$33.31	$37.61	$47.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $66.67 / $104.04 / $134.22	Facility		$66.67	$104.04	$134.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $49.00 / $84.51	Professional		$30.71	$49.00	$84.51
United Facility/Professional Facility Modifier Low / Median / High Price $15.78 / $15.78 / $41.03	Facility		$15.78	$15.78	$41.03
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $14.73 / $41.03	Professional		$14.36	$14.73	$41.03