Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.78 / $53.10 / $102.54	Facility		$45.78	$53.10	$102.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $35.75 / $83.30	Professional		$31.13	$35.75	$83.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.50 / $91.63 / $108.80	Facility		$59.50	$91.63	$108.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.70 / $42.18 / $65.80	Professional		$38.70	$42.18	$65.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $80.25 / $96.18	Professional		$36.61	$80.25	$96.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.47 / $38.45 / $80.56	Facility		$27.47	$38.45	$80.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $36.61 / $49.44	Professional		$36.61	$36.61	$49.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $38.45 / $80.84	Facility		$36.61	$38.45	$80.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.45 / $46.32 / $91.63	Facility		$38.45	$46.32	$91.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $43.94 / $71.95	Professional		$40.28	$43.94	$71.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $71.41 / $111.43 / $143.77	Facility		$71.41	$111.43	$143.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.64 / $72.13 / $115.11	Professional		$64.64	$72.13	$115.11
United Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $15.38 / $38.45	Professional		$15.38	$15.38	$38.45