Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.72 / $75.73 / $336.26	Facility		$44.72	$75.73	$336.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $34.03 / $86.11	Professional		$24.23	$34.03	$86.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.26 / $301.52 / $367.38	Facility		$26.26	$301.52	$367.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $59.11 / $87.58	Professional		$29.29	$59.11	$87.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.79 / $73.56 / $85.16	Professional		$61.79	$73.56	$85.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.80 / $52.59 / $76.81	Facility		$27.80	$52.59	$76.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.88 / $53.22 / $96.57	Professional		$45.88	$53.22	$96.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $54.27 / $63.65	Facility		$37.79	$54.27	$63.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.79 / $68.04 / $94.72	Facility		$32.79	$68.04	$94.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $67.31 / $90.25	Professional		$46.03	$67.31	$90.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $312.19 / $372.00 / $463.05	Facility		$312.19	$372.00	$463.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $65.08 / $86.65	Professional		$52.33	$65.08	$86.65
United Facility/Professional Professional Modifier Low / Median / High Price $27.31 / $33.15 / $87.87	Professional		$27.31	$33.15	$87.87