Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.62 / $84.60 / $123.27	Facility		$45.62	$84.60	$123.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $31.83 / $45.62	Professional		$20.46	$31.83	$45.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.03 / $57.03 / $101.96	Facility		$57.03	$57.03	$101.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $47.14 / $68.73	Professional		$19.64	$47.14	$68.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $76.70 / $91.91	Professional		$35.09	$76.70	$91.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.32 / $36.84 / $77.20	Facility		$26.32	$36.84	$77.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $38.60 / $47.37	Professional		$35.09	$38.60	$47.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $66.43	Facility		$35.09	$35.09	$66.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.84 / $44.39 / $85.49	Facility		$36.84	$44.39	$85.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $40.35 / $50.53	Professional		$38.60	$40.35	$50.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $68.43 / $106.78 / $144.97	Facility		$68.43	$106.78	$144.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $62.24 / $68.84 / $110.84	Professional		$62.24	$68.84	$110.84
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $14.74 / $36.84	Professional		$14.74	$14.74	$36.84