Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.33 / $110.01 / $194.00	Facility		$56.33	$110.01	$194.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $30.61 / $48.18	Professional		$22.81	$30.61	$48.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.03 / $87.82 / $125.27	Facility		$57.03	$87.82	$125.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $45.53 / $68.73	Professional		$22.28	$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 $26.96 / $60.75 / $147.75	Facility		$26.96	$60.75	$147.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $49.13	Professional		$35.09	$35.09	$49.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $36.84 / $77.45	Facility		$35.09	$36.84	$77.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.84 / $44.39 / $101.76	Facility		$36.84	$44.39	$101.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.53 / $42.46 / $56.15	Professional		$38.53	$42.46	$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