Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.16 / $81.97 / $153.69	Facility		$44.16	$81.97	$153.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $34.27 / $51.23	Professional		$19.48	$34.27	$51.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.40 / $92.99 / $126.87	Facility		$57.40	$92.99	$126.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $40.47 / $63.45	Professional		$25.40	$40.47	$63.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $85.97 / $92.77	Professional		$35.33	$85.97	$92.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.03 / $37.70 / $103.80	Facility		$32.03	$37.70	$103.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $40.63 / $59.66	Professional		$35.33	$40.63	$59.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $47.70 / $77.98	Facility		$35.33	$47.70	$77.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.03 / $42.75 / $102.46	Facility		$32.03	$42.75	$102.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $44.16 / $57.84	Professional		$35.33	$44.16	$57.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $68.89 / $109.05 / $145.96	Facility		$68.89	$109.05	$145.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $45.05 / $86.97	Professional		$31.58	$45.05	$86.97
United Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $20.20 / $42.40	Professional		$14.84	$20.20	$42.40