Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.14 / $57.00 / $110.07	Facility		$49.14	$57.00	$110.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $38.13 / $83.30	Professional		$32.50	$38.13	$83.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.88 / $98.37 / $121.92	Facility		$63.88	$98.37	$121.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $45.37 / $70.48	Professional		$41.36	$45.37	$70.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $86.65 / $103.84	Professional		$39.31	$86.65	$103.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.48 / $41.28 / $86.48	Facility		$29.48	$41.28	$86.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $53.07	Professional		$39.31	$39.31	$53.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $41.28 / $86.78	Facility		$39.31	$41.28	$86.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.28 / $49.73 / $98.37	Facility		$41.28	$49.73	$98.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.24 / $47.17 / $77.09	Professional		$43.24	$47.17	$77.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $76.65 / $119.62 / $154.33	Facility		$76.65	$119.62	$154.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.43 / $77.58 / $123.63	Professional		$69.43	$77.58	$123.63
United Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $16.51 / $39.31	Professional		$16.51	$16.51	$39.31