Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.67 / $73.75 / $142.41	Facility		$60.67	$73.75	$142.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $42.99 / $50.86	Professional		$36.49	$42.99	$50.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.65 / $127.28 / $147.78	Facility		$82.65	$127.28	$147.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $53.50 / $91.06	Professional		$24.33	$53.50	$91.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $123.83 / $133.61	Professional		$50.86	$123.83	$133.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.43 / $50.86 / $106.06	Facility		$25.43	$50.86	$106.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.24 / $50.86 / $68.66	Professional		$46.24	$50.86	$68.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.86 / $55.95 / $112.27	Facility		$50.86	$55.95	$112.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $61.03 / $127.28	Facility		$37.04	$61.03	$127.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $55.95 / $71.20	Professional		$43.88	$55.95	$71.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $99.18 / $154.77 / $210.12	Facility		$99.18	$154.77	$210.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $46.28 / $125.54	Professional		$34.72	$46.28	$125.54
United Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $21.36 / $61.03	Professional		$18.91	$21.36	$61.03