Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.69 / $94.09 / $120.00	Facility		$50.69	$94.09	$120.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $39.33 / $58.80	Professional		$30.59	$39.33	$58.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $101.49 / $125.27	Facility		$65.90	$101.49	$125.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $45.53 / $79.66	Professional		$22.28	$45.53	$79.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $88.78 / $106.39	Professional		$40.54	$88.78	$106.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.41 / $42.58 / $89.21	Facility		$30.41	$42.58	$89.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $40.54 / $54.74	Professional		$40.54	$40.54	$54.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $44.61 / $89.51	Facility		$40.54	$44.61	$89.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.58 / $51.30 / $117.03	Facility		$42.58	$51.30	$117.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $47.66 / $60.83	Professional		$44.60	$47.66	$60.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $79.06 / $123.39 / $167.53	Facility		$79.06	$123.39	$167.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $79.62 / $127.90	Professional		$71.81	$79.62	$127.90
United Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $17.03 / $42.58	Professional		$17.03	$17.03	$42.58