Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $100.00 / $223.87	Facility		$33.88	$100.00	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $63.10	Professional		$28.18	$36.31	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $107.15 / $147.91	Facility		$66.07	$107.15	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $40.74 / $72.44	Professional		$26.92	$40.74	$72.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $87.10 / $104.71	Professional		$40.74	$87.10	$104.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $154.88	Facility		$40.74	$40.74	$154.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $81.28	Professional		$40.74	$51.29	$81.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $85.11	Facility		$40.74	$40.74	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $58.88 / $123.03	Facility		$36.31	$58.88	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $79.43	Professional		$40.74	$51.29	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $123.03 / $169.82	Facility		$61.66	$123.03	$169.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $40.74 / $52.48	Professional		$30.90	$40.74	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $64.57	Facility		$48.98	$48.98	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.44 / $57.54	Professional		$16.98	$23.44	$57.54