Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.84 / $63.84 / $123.28	Facility		$52.84	$63.84	$123.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $42.71 / $97.99	Professional		$21.60	$42.71	$97.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $110.19 / $127.93	Facility		$71.55	$110.19	$127.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $46.29 / $78.72	Professional		$12.96	$46.29	$78.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.03 / $107.29 / $115.74	Professional		$44.03	$107.29	$115.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $44.03 / $91.83	Facility		$18.39	$44.03	$91.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $44.03 / $55.04	Professional		$24.60	$44.03	$55.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.03 / $46.23 / $97.20	Facility		$44.03	$46.23	$97.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $52.84 / $95.99	Facility		$22.02	$52.84	$95.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.35 / $48.43 / $61.64	Professional		$23.35	$48.43	$61.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $85.86 / $129.97 / $172.86	Facility		$85.86	$129.97	$172.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $39.40 / $108.31	Professional		$18.47	$39.40	$108.31
United Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $18.48 / $52.84	Professional		$10.32	$18.48	$52.84