Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $83.18 / $154.88	Facility		$42.66	$83.18	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $79.43	Professional		$20.89	$30.20	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $89.13 / $112.20	Facility		$54.95	$89.13	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.88 / $61.66	Professional		$20.89	$33.88	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $74.13 / $87.10	Professional		$33.88	$74.13	$87.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $47.86	Facility		$33.88	$33.88	$47.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $52.48	Professional		$33.88	$40.74	$52.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $79.43	Facility		$33.88	$33.88	$79.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $48.98 / $100.00	Facility		$30.90	$48.98	$100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $40.74 / $79.43	Professional		$31.62	$40.74	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $102.33 / $141.25	Facility		$51.29	$102.33	$141.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $40.74	Professional		$25.70	$32.36	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $54.95	Facility		$40.74	$40.74	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $43.65	Professional		$14.45	$18.20	$43.65