Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.50 / $108.14 / $303.36	Facility		$30.50	$108.14	$303.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.67 / $45.10	Professional		$32.36	$33.67	$45.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.75 / $101.66 / $138.72	Facility		$62.75	$101.66	$138.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $44.19 / $69.31	Professional		$27.71	$44.19	$69.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $93.86 / $101.28	Professional		$38.61	$93.86	$101.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $48.57 / $140.00	Facility		$33.67	$48.57	$140.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $44.41 / $73.50	Professional		$38.61	$44.41	$73.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.61 / $48.28 / $85.25	Facility		$38.61	$48.28	$85.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $46.73 / $112.00	Facility		$33.67	$46.73	$112.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $48.28 / $63.24	Professional		$38.61	$48.28	$63.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $75.31 / $119.20 / $159.55	Facility		$75.31	$119.20	$159.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $49.24 / $95.18	Professional		$34.47	$49.24	$95.18
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.08 / $46.34	Professional		$16.22	$22.08	$46.34