Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.00 / $98.84 / $223.24	Facility		$43.00	$98.84	$223.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $35.52 / $48.75	Professional		$34.57	$35.52	$48.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.23 / $107.28 / $146.33	Facility		$66.23	$107.28	$146.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $46.67 / $72.84	Professional		$29.30	$46.67	$72.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $99.40 / $107.22	Professional		$40.75	$99.40	$107.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.04 / $43.48 / $107.84	Facility		$35.04	$43.48	$107.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $48.90 / $81.99	Professional		$40.75	$48.90	$81.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $50.40 / $89.96	Facility		$40.75	$50.40	$89.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.53 / $49.31 / $118.18	Facility		$35.53	$49.31	$118.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $50.94 / $66.72	Professional		$40.75	$50.94	$66.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $79.45 / $125.78 / $168.35	Facility		$79.45	$125.78	$168.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $51.95 / $100.10	Professional		$36.50	$51.95	$100.10
United Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $23.29 / $48.90	Professional		$17.12	$23.29	$48.90