Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.74 / $85.22 / $166.79	Facility		$42.74	$85.22	$166.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $28.60 / $46.95	Professional		$26.82	$28.60	$46.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.55 / $89.99 / $113.29	Facility		$55.55	$89.99	$113.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $39.24 / $61.10	Professional		$22.56	$39.24	$61.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $83.62 / $90.22	Professional		$34.19	$83.62	$90.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.60 / $34.19 / $71.29	Facility		$28.60	$34.19	$71.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $39.32 / $49.16	Professional		$34.19	$39.32	$49.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.19 / $42.85 / $90.20	Facility		$34.19	$42.85	$90.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.60 / $41.03 / $99.15	Facility		$28.60	$41.03	$99.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $40.98 / $51.65	Professional		$34.19	$40.98	$51.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $66.67 / $104.04 / $141.25	Facility		$66.67	$104.04	$141.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $40.22 / $84.51	Professional		$30.71	$40.22	$84.51
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $18.03 / $41.03	Professional		$14.36	$18.03	$41.03