Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $87.10 / $229.09	Facility		$45.71	$87.10	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $56.23	Professional		$22.91	$30.90	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $93.33 / $125.89	Facility		$57.54	$93.33	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.02 / $69.18	Professional		$23.44	$38.02	$69.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $75.86 / $91.20	Professional		$35.48	$75.86	$91.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $91.20	Facility		$35.48	$35.48	$91.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $61.66	Professional		$35.48	$41.69	$61.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $74.13	Facility		$35.48	$35.48	$74.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $54.95 / $104.71	Facility		$33.11	$54.95	$104.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $46.77 / $79.43	Professional		$35.48	$46.77	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $104.71 / $144.54	Facility		$52.48	$104.71	$144.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $29.51 / $41.69	Professional		$28.18	$29.51	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $56.23	Facility		$41.69	$41.69	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.95 / $41.69	Professional		$14.79	$19.95	$41.69