Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.93 / $56.71 / $109.51	Facility		$46.93	$56.71	$109.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $37.94 / $138.19	Professional		$28.16	$37.94	$138.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.55 / $97.87 / $113.63	Facility		$63.55	$97.87	$113.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $41.36 / $69.91	Professional		$18.29	$41.36	$69.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $95.44 / $102.98	Professional		$39.11	$95.44	$102.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.13 / $39.11 / $81.56	Facility		$21.13	$39.11	$81.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.70 / $39.11 / $64.14	Professional		$34.70	$39.11	$64.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.11 / $44.19 / $86.34	Facility		$39.11	$44.19	$86.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $46.93 / $91.48	Facility		$28.49	$46.93	$91.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.93 / $43.02 / $54.75	Professional		$32.93	$43.02	$54.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $76.26 / $119.01 / $161.58	Facility		$76.26	$119.01	$161.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $35.59 / $96.00	Professional		$26.06	$35.59	$96.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $16.43 / $46.93	Professional		$14.56	$16.43	$46.93