Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $103.84 / $397.62	Facility		$48.98	$103.84	$397.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.26 / $33.57 / $48.76	Professional		$32.26	$33.57	$48.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.58 / $101.37 / $138.22	Facility		$62.58	$101.37	$138.22
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 $38.50 / $93.86 / $101.28	Professional		$38.50	$93.86	$101.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.56 / $41.09 / $107.84	Facility		$33.56	$41.09	$107.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $44.28 / $77.44	Professional		$38.50	$44.28	$77.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $46.20 / $84.99	Facility		$38.50	$46.20	$84.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.56 / $46.59 / $111.65	Facility		$33.56	$46.59	$111.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $46.20 / $63.04	Professional		$38.50	$46.20	$63.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $75.08 / $118.83 / $159.06	Facility		$75.08	$118.83	$159.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $49.08 / $95.18	Professional		$34.47	$49.08	$95.18
United Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $19.09 / $46.20	Professional		$16.17	$19.09	$46.20