Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.10 / $96.72 / $181.31	Facility		$52.10	$96.72	$181.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $40.43 / $81.28	Professional		$31.20	$40.43	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $104.30 / $126.01	Facility		$67.73	$104.30	$126.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $45.53 / $81.59	Professional		$23.71	$45.53	$81.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $91.61 / $109.78	Professional		$41.68	$91.61	$109.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.51 / $65.12 / $117.03	Facility		$37.51	$65.12	$117.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $48.24 / $61.30	Professional		$41.68	$48.24	$61.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.68 / $45.85 / $92.01	Facility		$41.68	$45.85	$92.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.93 / $56.27 / $117.03	Facility		$47.93	$56.27	$117.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.53 / $50.02 / $62.94	Professional		$45.53	$50.02	$62.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $126.83 / $172.20	Facility		$81.28	$126.83	$172.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $73.62 / $81.66 / $131.09	Professional		$73.62	$81.66	$131.09
United Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $17.51 / $43.76	Professional		$17.51	$17.51	$43.76