Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.63 / $49.10 / $94.81	Facility		$40.63	$49.10	$94.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $32.84 / $134.66	Professional		$14.74	$32.84	$134.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.03 / $89.11 / $98.38	Facility		$55.03	$89.11	$98.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $35.67 / $60.51	Professional		$17.76	$35.67	$60.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $82.83 / $89.36	Professional		$33.86	$82.83	$89.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.28 / $33.86 / $70.61	Facility		$24.28	$33.86	$70.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.82 / $34.11 / $45.71	Professional		$33.82	$34.11	$45.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $38.26 / $74.75	Facility		$33.86	$38.26	$74.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.66 / $40.63 / $89.11	Facility		$24.66	$40.63	$89.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.09 / $37.25 / $47.40	Professional		$32.09	$37.25	$47.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $66.03 / $103.04 / $139.88	Facility		$66.03	$103.04	$139.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $31.64 / $83.69	Professional		$25.37	$31.64	$83.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $14.22 / $40.63	Professional		$14.19	$14.22	$40.63