Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $51.29 / $229.09	Facility		$41.69	$51.29	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $147.91	Facility		$83.18	$83.18	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $58.88 / $74.13	Professional		$51.29	$58.88	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $112.20 / $131.83	Professional		$51.29	$112.20	$131.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $56.23 / $69.18	Professional		$41.69	$56.23	$69.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $72.44	Facility		$51.29	$51.29	$72.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $70.79 / $147.91	Facility		$42.66	$70.79	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $56.23 / $79.43	Professional		$44.67	$56.23	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $102.33 / $204.17	Facility		$72.44	$102.33	$204.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $46.77 / $61.66	Professional		$38.90	$46.77	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $83.18	Facility		$61.66	$61.66	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $50.12	Professional		$17.78	$17.78	$50.12