Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.72 / $49.21 / $95.03	Facility		$40.72	$49.21	$95.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $32.92 / $184.17	Professional		$32.92	$32.92	$184.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.15 / $89.34 / $121.87	Facility		$55.15	$89.34	$121.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $39.24 / $61.10	Professional		$24.33	$39.24	$61.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $82.83 / $89.36	Professional		$33.94	$82.83	$89.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $36.21 / $70.78	Facility		$17.98	$36.21	$70.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $39.03 / $48.08	Professional		$33.94	$39.03	$48.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.94 / $40.72 / $74.92	Facility		$33.94	$40.72	$74.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $40.72 / $98.43	Facility		$17.98	$40.72	$98.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $42.43 / $55.57	Professional		$33.94	$42.43	$55.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $66.18 / $104.75 / $140.22	Facility		$66.18	$104.75	$140.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $43.27 / $83.69	Professional		$30.41	$43.27	$83.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $19.39 / $40.72	Professional		$14.25	$19.39	$40.72