Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.92 / $87.54 / $144.33	Facility		$43.92	$87.54	$144.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.88 / $34.20 / $45.11	Professional		$32.88	$34.20	$45.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.30 / $99.31 / $135.43	Facility		$61.30	$99.31	$135.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $43.37 / $67.56	Professional		$27.00	$43.37	$67.56
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $87.02 / $87.02 / $87.02	Professional		$87.02	$87.02	$87.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $92.30 / $99.57	Professional		$37.72	$92.30	$99.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.86 / $40.26 / $101.10	Facility		$32.86	$40.26	$101.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $43.39 / $63.70	Professional		$37.72	$43.39	$63.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $50.94 / $83.29	Facility		$37.72	$50.94	$83.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.21 / $45.65 / $109.42	Facility		$34.21	$45.65	$109.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $45.28 / $61.75	Professional		$37.72	$45.28	$61.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $73.56 / $116.45 / $155.88	Facility		$73.56	$116.45	$155.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.89 / $48.09 / $92.72	Professional		$33.89	$48.09	$92.72
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.56 / $45.28	Professional		$15.85	$21.56	$45.28