Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.28 / $55.93 / $108.00	Facility		$46.28	$55.93	$108.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $37.40 / $71.72	Professional		$16.41	$37.40	$71.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.68 / $96.52 / $112.06	Facility		$62.68	$96.52	$112.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $40.60 / $69.31	Professional		$9.59	$40.60	$69.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $93.86 / $101.28	Professional		$38.57	$93.86	$101.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.29 / $38.57 / $80.43	Facility		$19.29	$38.57	$80.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $38.57 / $52.07	Professional		$19.27	$38.57	$52.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $42.43 / $85.14	Facility		$38.57	$42.43	$85.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.09 / $46.28 / $96.52	Facility		$28.09	$46.28	$96.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $42.43 / $54.00	Professional		$18.29	$42.43	$54.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $113.85 / $151.41	Facility		$75.20	$113.85	$151.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $34.47 / $95.18	Professional		$14.48	$34.47	$95.18
United Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $16.20 / $46.28	Professional		$8.09	$16.20	$46.28