Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $79.43 / $218.78	Facility		$40.74	$79.43	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $30.90 / $204.17	Professional		$17.38	$30.90	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $85.11 / $114.82	Facility		$52.48	$85.11	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $36.31 / $58.88	Professional		$24.55	$36.31	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $70.79 / $83.18	Professional		$32.36	$70.79	$83.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $70.79	Facility		$32.36	$32.36	$70.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $54.95	Professional		$32.36	$42.66	$54.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $61.66	Facility		$32.36	$32.36	$61.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $46.77 / $131.83	Facility		$31.62	$46.77	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $79.43	Professional		$32.36	$40.74	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $97.72 / $134.90	Facility		$48.98	$97.72	$134.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $32.36 / $41.69	Professional		$24.55	$32.36	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $52.48	Facility		$38.90	$38.90	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $18.62 / $45.71	Professional		$13.80	$18.62	$45.71