Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $52.48 / $151.36	Facility		$42.66	$52.48	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $52.48	Professional		$22.91	$32.36	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $89.13 / $123.03	Facility		$54.95	$89.13	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.88 / $61.66	Professional		$22.39	$33.88	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $74.13 / $87.10	Professional		$33.88	$74.13	$87.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $40.74	Facility		$33.88	$33.88	$40.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $56.23	Professional		$33.88	$40.74	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $64.57	Facility		$33.88	$33.88	$64.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $48.98 / $102.33	Facility		$33.11	$48.98	$102.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $79.43	Professional		$33.88	$42.66	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $102.33 / $141.25	Facility		$51.29	$102.33	$141.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $43.65	Professional		$25.70	$33.88	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $53.70	Facility		$40.74	$40.74	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.50 / $47.86	Professional		$14.13	$19.50	$47.86