Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.84 / $82.67 / $131.41	Facility		$46.84	$82.67	$131.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $28.17 / $40.90	Professional		$27.07	$28.17	$40.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $85.05 / $116.01	Facility		$52.50	$85.05	$116.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $37.17 / $58.16	Professional		$23.09	$37.17	$58.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $78.87 / $85.11	Professional		$32.29	$78.87	$85.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.16 / $40.61 / $107.07	Facility		$28.16	$40.61	$107.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $37.15 / $58.80	Professional		$32.29	$37.15	$58.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $43.61 / $71.30	Facility		$32.29	$43.61	$71.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.16 / $40.61 / $93.67	Facility		$28.16	$40.61	$93.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $38.76 / $52.88	Professional		$32.29	$38.76	$52.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $62.99 / $99.70 / $133.44	Facility		$62.99	$99.70	$133.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $41.18 / $79.59	Professional		$28.97	$41.18	$79.59
United Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $18.46 / $45.13	Professional		$13.57	$18.46	$45.13