Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.03 / $49.58 / $95.73	Facility		$41.03	$49.58	$95.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $33.15 / $49.58	Professional		$29.80	$33.15	$49.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.55 / $85.55 / $99.32	Facility		$55.55	$85.55	$99.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $36.81 / $61.10	Professional		$17.23	$36.81	$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 $17.53 / $34.19 / $71.29	Facility		$17.53	$34.19	$71.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $34.19 / $46.16	Professional		$34.19	$34.19	$46.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.19 / $34.19 / $71.80	Facility		$34.19	$34.19	$71.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $41.03 / $85.55	Facility		$28.61	$41.03	$85.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $37.61 / $47.87	Professional		$33.31	$37.61	$47.87
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 / $53.81 / $84.51	Professional		$30.71	$53.81	$84.51
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $14.73 / $41.03	Professional		$14.36	$14.73	$41.03