Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $100.00 / $223.87	Facility		$51.29	$100.00	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $58.88 / $102.33	Professional		$51.29	$58.88	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $147.91	Facility		$83.18	$83.18	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $56.23 / $100.00	Professional		$26.30	$56.23	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $109.65 / $134.90	Professional		$51.29	$109.65	$134.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $186.21	Facility		$51.29	$51.29	$186.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $61.66 / $93.33	Professional		$51.29	$61.66	$93.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $77.62	Facility		$51.29	$51.29	$77.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $74.13 / $147.91	Facility		$51.29	$74.13	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $57.54 / $74.13	Professional		$51.29	$57.54	$74.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $112.20 / $199.53	Facility		$77.62	$112.20	$199.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $43.65 / $61.66	Professional		$40.74	$43.65	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $81.28	Facility		$61.66	$61.66	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $53.70	Professional		$30.90	$30.90	$53.70