Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.40 / $55.63 / $153.69	Facility		$48.40	$55.63	$153.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $45.23 / $88.00	Professional		$44.00	$45.23	$88.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.40 / $88.40 / $102.63	Facility		$57.40	$88.40	$102.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $40.98 / $63.45	Professional		$19.18	$40.98	$63.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $85.97 / $92.77	Professional		$35.33	$85.97	$92.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $45.23 / $109.56	Facility		$35.33	$45.23	$109.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $35.33 / $47.70	Professional		$35.33	$35.33	$47.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $37.10 / $66.88	Facility		$35.33	$37.10	$66.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.63 / $45.23 / $97.24	Facility		$40.63	$45.23	$97.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $38.86 / $49.46	Professional		$33.56	$38.86	$49.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $76.70 / $107.51 / $158.66	Facility		$76.70	$107.51	$158.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $62.24 / $88.16	Professional		$31.58	$62.24	$88.16
United Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $18.95 / $54.13	Professional		$17.87	$18.95	$54.13