Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.48 / $87.48 / $152.63	Facility		$87.48	$87.48	$152.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.26 / $29.83 / $34.04	Professional		$25.26	$29.83	$34.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.03 / $57.03 / $101.96	Facility		$57.03	$57.03	$101.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $28.07 / $28.07	Professional		$28.07	$28.07	$28.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $76.70 / $91.91	Professional		$35.09	$76.70	$91.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.32 / $34.04 / $77.20	Facility		$26.32	$34.04	$77.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $47.37	Professional		$35.09	$35.09	$47.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $39.29 / $61.41	Facility		$35.09	$39.29	$61.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $46.49 / $85.49	Facility		$34.04	$46.49	$85.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $38.60 / $49.13	Professional		$38.60	$38.60	$49.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $70.18 / $106.78 / $137.76	Facility		$70.18	$106.78	$137.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $68.73 / $110.15	Professional		$56.32	$68.73	$110.15
United Facility/Professional Facility Modifier Low / Median / High Price $52.64 / $52.64 / $56.14	Facility		$52.64	$52.64	$56.14
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $14.74 / $36.84	Professional		$14.74	$14.74	$36.84