Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $89.13 / $245.47	Facility		$40.74	$89.13	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $61.66	Professional		$20.89	$28.18	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $85.11 / $114.82	Facility		$52.48	$85.11	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $32.36 / $57.54	Professional		$21.38	$32.36	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $70.79 / $83.18	Professional		$32.36	$70.79	$83.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $109.65	Facility		$32.36	$32.36	$109.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $58.88	Professional		$32.36	$40.74	$58.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $61.66	Facility		$32.36	$32.36	$61.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $46.77 / $107.15	Facility		$31.62	$46.77	$107.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $79.43	Professional		$32.36	$40.74	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $97.72 / $134.90	Facility		$48.98	$97.72	$134.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $40.74	Professional		$23.99	$32.36	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $51.29	Facility		$38.90	$38.90	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.62 / $44.67	Professional		$13.49	$18.62	$44.67