Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.75 / $50.75 / $98.00	Facility		$43.75	$50.75	$98.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $32.90 / $68.25	Professional		$25.20	$32.90	$68.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.88 / $87.59 / $256.87	Facility		$56.88	$87.59	$256.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $38.53 / $62.86	Professional		$30.60	$38.53	$62.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $76.70 / $91.91	Professional		$35.00	$76.70	$91.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.25 / $36.75 / $77.00	Facility		$26.25	$36.75	$77.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $47.25	Professional		$35.00	$35.00	$47.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $36.75 / $77.26	Facility		$35.00	$36.75	$77.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.75 / $44.28 / $87.59	Facility		$36.75	$44.28	$87.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.09 / $40.25 / $52.50	Professional		$37.09	$40.25	$52.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $68.25 / $106.51 / $137.41	Facility		$68.25	$106.51	$137.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.65 / $68.73 / $109.78	Professional		$61.65	$68.73	$109.78
United Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.70 / $36.75	Professional		$14.70	$14.70	$36.75