Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $42.66 / $194.98	Facility		$41.69	$42.66	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $50.12	Professional		$41.69	$41.69	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $123.03	Facility		$69.18	$69.18	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $48.98 / $60.26	Professional		$42.66	$48.98	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $91.20 / $109.65	Professional		$42.66	$91.20	$109.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $57.54	Professional		$42.66	$51.29	$57.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $58.88	Facility		$42.66	$42.66	$58.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $60.26 / $123.03	Facility		$42.66	$60.26	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $46.77 / $79.43	Professional		$42.66	$46.77	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $93.33 / $165.96	Facility		$63.10	$93.33	$165.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.90 / $51.29	Professional		$31.62	$38.90	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $67.61	Facility		$51.29	$51.29	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $50.12	Professional		$17.78	$17.78	$50.12