Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $67.15 / $129.66	Facility		$55.57	$67.15	$129.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $33.72 / $46.31	Professional		$29.58	$33.72	$46.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.25 / $121.87 / $134.55	Facility		$75.25	$121.87	$134.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $48.95 / $82.83	Professional		$24.33	$48.95	$82.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $112.80 / $121.70	Professional		$46.31	$112.80	$121.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.26 / $46.31 / $96.58	Facility		$34.26	$46.31	$96.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.24 / $46.66 / $62.52	Professional		$46.24	$46.66	$62.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.31 / $48.63 / $102.23	Facility		$46.31	$48.63	$102.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.26 / $55.57 / $121.87	Facility		$34.26	$55.57	$121.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $50.94 / $64.83	Professional		$43.88	$50.94	$64.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $90.30 / $140.91 / $191.33	Facility		$90.30	$140.91	$191.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $43.27 / $114.05	Professional		$34.68	$43.27	$114.05
United Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $19.45 / $55.57	Professional		$19.39	$19.45	$55.57