Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.48 / $163.50 / $417.24	Facility		$60.48	$163.50	$417.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.44 / $37.43 / $82.56	Professional		$35.44	$37.43	$82.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.08 / $108.66 / $148.19	Facility		$67.08	$108.66	$148.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $47.50 / $74.02	Professional		$29.66	$47.50	$74.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $100.96 / $108.94	Professional		$41.28	$100.96	$108.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.04 / $57.26 / $137.78	Facility		$35.04	$57.26	$137.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $47.47 / $83.04	Professional		$41.28	$47.47	$83.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.28 / $55.73 / $91.13	Facility		$41.28	$55.73	$91.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $49.95 / $119.71	Facility		$35.97	$49.95	$119.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $51.60 / $67.56	Professional		$41.28	$51.60	$67.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $80.50 / $127.40 / $170.54	Facility		$80.50	$127.40	$170.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.08 / $52.61 / $101.74	Professional		$37.08	$52.61	$101.74
United Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $23.59 / $58.32	Professional		$17.34	$23.59	$58.32