Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.02 / $84.40 / $154.07	Facility		$44.02	$84.40	$154.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $30.48 / $40.51	Professional		$29.51	$30.48	$40.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.03 / $89.14 / $121.59	Facility		$55.03	$89.14	$121.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $39.24 / $60.51	Professional		$24.33	$39.24	$60.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $82.83 / $89.36	Professional		$33.86	$82.83	$89.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $36.11 / $70.61	Facility		$28.10	$36.11	$70.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $38.94 / $55.53	Professional		$33.86	$38.94	$55.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $45.99 / $222.66	Facility		$33.86	$45.99	$222.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.70 / $40.97 / $98.19	Facility		$30.70	$40.97	$98.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $42.33 / $55.44	Professional		$33.86	$42.33	$55.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $66.03 / $104.53 / $139.88	Facility		$66.03	$104.53	$139.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $43.17 / $83.69	Professional		$30.41	$43.17	$83.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $19.35 / $40.63	Professional		$14.22	$19.35	$40.63