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 $27.77 / $37.40 / $37.40	Professional		$27.77	$37.40	$37.40
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 $19.71 / $42.12 / $69.31	Professional		$19.71	$42.12	$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 $13.58 / $38.57 / $80.43	Facility		$13.58	$38.57	$80.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $38.57 / $52.07	Professional		$38.57	$38.57	$52.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $42.43 / $57.86	Facility		$38.57	$42.43	$57.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $46.28 / $97.94	Facility		$13.58	$46.28	$97.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $42.43 / $54.00	Professional		$36.64	$42.43	$54.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $65.84 / $106.47 / $151.41	Facility		$65.84	$106.47	$151.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $45.96 / $95.18	Professional		$34.47	$45.96	$95.18
United Facility/Professional Facility Modifier Low / Median / High Price $57.86 / $57.86 / $61.71	Facility		$57.86	$57.86	$61.71
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $46.28	Professional		$16.20	$16.20	$46.28