Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $89.13 / $181.97	Facility		$45.71	$89.13	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $239.88	Professional		$26.92	$33.88	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $95.50 / $131.83	Facility		$58.88	$95.50	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $36.31 / $66.07	Professional		$23.99	$36.31	$66.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $79.43 / $93.33	Professional		$36.31	$79.43	$93.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $75.86	Facility		$36.31	$36.31	$75.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $74.13	Professional		$36.31	$45.71	$74.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $81.28	Facility		$36.31	$36.31	$81.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $52.48 / $123.03	Facility		$35.48	$52.48	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $79.43	Professional		$36.31	$45.71	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $109.65 / $151.36	Facility		$54.95	$109.65	$151.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $36.31 / $46.77	Professional		$27.54	$36.31	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $58.88	Facility		$43.65	$43.65	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.89 / $51.29	Professional		$15.49	$20.89	$51.29