Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $77.62 / $186.21	Facility		$52.48	$77.62	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.67 / $74.13	Professional		$25.70	$34.67	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $109.65 / $125.89	Facility		$67.61	$109.65	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $44.67 / $81.28	Professional		$23.44	$44.67	$81.28
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 / $87.10	Facility		$41.69	$41.69	$87.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $70.79	Professional		$41.69	$50.12	$70.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $79.43	Facility		$41.69	$41.69	$79.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $60.26 / $123.03	Facility		$38.90	$60.26	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $79.43	Professional		$37.15	$52.48	$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 / $19.95 / $50.12	Professional		$17.38	$19.95	$50.12