Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.13 / $87.78 / $135.56	Facility		$50.13	$87.78	$135.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $43.83 / $84.26	Professional		$42.13	$43.83	$84.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $105.41 / $122.39	Facility		$68.45	$105.41	$122.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $48.40 / $75.78	Professional		$22.91	$48.40	$75.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $102.54 / $110.64	Professional		$42.13	$102.54	$110.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $46.34 / $102.92	Facility		$42.13	$46.34	$102.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $56.88	Professional		$42.13	$42.13	$56.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $46.34 / $63.20	Facility		$42.13	$46.34	$63.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $50.56 / $105.41	Facility		$42.13	$50.56	$105.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $46.34 / $58.98	Professional		$40.02	$46.34	$58.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $71.79 / $113.49 / $153.87	Facility		$71.79	$113.49	$153.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.65 / $50.21 / $104.20	Professional		$37.65	$50.21	$104.20
United Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $17.69 / $50.56	Professional		$17.69	$17.69	$50.56