Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.88 / $97.90 / $304.00	Facility		$50.88	$97.90	$304.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $31.59 / $63.75	Professional		$22.81	$31.59	$63.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.03 / $87.82 / $126.01	Facility		$57.03	$87.82	$126.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $45.53 / $68.73	Professional		$23.71	$45.53	$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 $32.97 / $69.12 / $171.00	Facility		$32.97	$69.12	$171.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $47.37 / $70.62	Professional		$35.09	$47.37	$70.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $40.35 / $77.45	Facility		$35.09	$40.35	$77.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.35 / $48.68 / $103.52	Facility		$40.35	$48.68	$103.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $43.90 / $56.15	Professional		$38.60	$43.90	$56.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $68.43 / $108.33 / $144.97	Facility		$68.43	$108.33	$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 / $20.05 / $42.11	Professional		$14.74	$20.05	$42.11