Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.21 / $55.93 / $108.00	Facility		$48.21	$55.93	$108.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $34.71 / $52.96	Professional		$16.05	$34.71	$52.96
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 $21.60 / $44.19 / $69.31	Professional		$21.60	$44.19	$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 $20.44 / $38.57 / $80.43	Facility		$20.44	$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 / $38.57 / $73.01	Facility		$38.57	$38.57	$73.01
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 $36.64 / $42.43 / $55.16	Professional		$36.64	$42.43	$55.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $117.37 / $159.35	Facility		$75.20	$117.37	$159.35
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 $17.36 / $17.36 / $38.57	Facility		$17.36	$17.36	$38.57
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $46.28	Professional		$16.20	$16.20	$46.28