Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.09 / $78.09 / $136.29	Facility		$78.09	$78.09	$136.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $28.20 / $28.20	Professional		$26.63	$28.20	$28.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.90 / $78.39 / $91.01	Facility		$50.90	$78.39	$91.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $31.31 / $44.91	Professional		$25.06	$31.31	$44.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $76.52 / $82.56	Professional		$31.33	$76.52	$82.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.61 / $31.33 / $65.34	Facility		$16.61	$31.33	$65.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $31.33 / $42.61	Professional		$31.33	$31.33	$42.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $35.40 / $54.83	Facility		$31.33	$35.40	$54.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.60 / $43.55 / $90.86	Facility		$37.60	$43.55	$90.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $34.46 / $43.86	Professional		$29.76	$34.46	$43.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $61.09 / $95.34 / $123.00	Facility		$61.09	$95.34	$123.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $37.46 / $77.13	Professional		$28.10	$37.46	$77.13
United Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $13.16 / $37.60	Professional		$13.16	$13.16	$37.60