Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.78 / $74.50 / $141.90	Facility		$40.78	$74.50	$141.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $37.72 / $204.53	Professional		$17.29	$37.72	$204.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $85.86 / $115.88	Facility		$53.00	$85.86	$115.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $37.58 / $58.75	Professional		$24.81	$37.58	$58.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $79.66 / $85.95	Professional		$32.61	$79.66	$85.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.64 / $45.25 / $148.28	Facility		$31.64	$45.25	$148.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $37.51 / $53.69	Professional		$32.61	$37.51	$53.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $39.14 / $72.01	Facility		$32.61	$39.14	$72.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $41.26 / $94.60	Facility		$35.29	$41.26	$94.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $40.78 / $53.40	Professional		$32.61	$40.78	$53.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.61 / $100.68 / $134.77	Facility		$63.61	$100.68	$134.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $41.58 / $80.41	Professional		$29.26	$41.58	$80.41
United Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $18.64 / $39.14	Professional		$13.70	$18.64	$39.14