Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.87 / $53.01 / $102.37	Facility		$43.87	$53.01	$102.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $35.46 / $235.08	Professional		$35.46	$35.46	$235.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $96.23 / $202.74	Facility		$59.40	$96.23	$202.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $43.41 / $65.80	Professional		$36.54	$43.41	$65.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.56 / $89.13 / $96.18	Professional		$36.56	$89.13	$96.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.46 / $55.22 / $188.41	Facility		$35.46	$55.22	$188.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.56 / $43.87 / $113.59	Professional		$36.56	$43.87	$113.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.56 / $43.87 / $113.78	Facility		$36.56	$43.87	$113.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $46.25 / $106.21	Facility		$38.04	$46.25	$106.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.56 / $45.70 / $92.44	Professional		$36.56	$45.70	$92.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $71.29 / $112.85 / $151.04	Facility		$71.29	$112.85	$151.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $70.89 / $90.26	Professional		$32.72	$70.89	$90.26
United Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $21.94 / $43.87	Professional		$15.36	$21.94	$43.87