Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $69.18 / $204.17	Facility		$56.23	$69.18	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $81.28	Professional		$28.18	$36.31	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $117.49 / $154.88	Facility		$72.44	$117.49	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $50.12 / $81.28	Professional		$13.80	$50.12	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $95.50 / $117.49	Professional		$44.67	$95.50	$117.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $51.29	Facility		$44.67	$44.67	$51.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $63.10	Professional		$44.67	$44.67	$63.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $85.11	Facility		$44.67	$44.67	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $63.10 / $131.83	Facility		$33.88	$63.10	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $53.70 / $79.43	Professional		$44.67	$53.70	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $131.83 / $177.83	Facility		$67.61	$131.83	$177.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.02 / $53.70	Professional		$36.31	$38.02	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $72.44	Facility		$53.70	$53.70	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $53.70	Professional		$19.05	$19.05	$53.70