Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.43 / $78.75 / $301.83	Facility		$42.43	$78.75	$301.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $32.92 / $42.99	Professional		$28.95	$32.92	$42.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.15 / $89.34 / $121.87	Facility		$55.15	$89.34	$121.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $39.24 / $61.10	Professional		$24.33	$39.24	$61.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $82.83 / $89.36	Professional		$33.94	$82.83	$89.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.59 / $39.65 / $113.71	Facility		$29.59	$39.65	$113.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $39.03 / $55.87	Professional		$33.94	$39.03	$55.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.94 / $45.82 / $74.92	Facility		$33.94	$45.82	$74.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.59 / $41.07 / $98.43	Facility		$29.59	$41.07	$98.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $40.72 / $55.57	Professional		$33.94	$40.72	$55.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $66.18 / $104.75 / $140.22	Facility		$66.18	$104.75	$140.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $43.27 / $83.69	Professional		$30.41	$43.27	$83.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $19.39 / $40.72	Professional		$14.25	$19.39	$40.72