Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $75.86 / $190.55	Facility		$41.69	$75.86	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $85.11	Professional		$41.69	$41.69	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $123.03	Facility		$69.18	$69.18	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $41.69 / $75.86	Professional		$20.89	$41.69	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $91.20 / $107.15	Professional		$41.69	$91.20	$107.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $91.20	Facility		$41.69	$41.69	$91.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $46.77 / $58.88	Professional		$41.69	$46.77	$58.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $44.67 / $63.10	Facility		$41.69	$44.67	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $60.26 / $123.03	Facility		$41.69	$60.26	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $46.77 / $66.07	Professional		$38.02	$46.77	$66.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $85.11 / $154.88	Facility		$63.10	$85.11	$154.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $41.69 / $50.12	Professional		$31.62	$41.69	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $67.61	Facility		$50.12	$50.12	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $50.12	Professional		$17.78	$17.78	$50.12