Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $64.57 / $186.21	Facility		$52.48	$64.57	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $37.15 / $69.18	Professional		$21.88	$37.15	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $109.65 / $151.36	Facility		$67.61	$109.65	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $44.67 / $83.18	Professional		$27.54	$44.67	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $89.13 / $109.65	Professional		$41.69	$89.13	$109.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $79.43	Facility		$41.69	$41.69	$79.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $72.44	Professional		$41.69	$50.12	$72.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $87.10	Facility		$41.69	$41.69	$87.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $64.57 / $125.89	Facility		$39.81	$64.57	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $54.95 / $79.43	Professional		$41.69	$54.95	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $125.89 / $173.78	Facility		$63.10	$125.89	$173.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $35.48 / $50.12	Professional		$33.88	$35.48	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $66.07	Facility		$50.12	$50.12	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $23.99 / $50.12	Professional		$17.38	$23.99	$50.12