Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.88 / $121.10 / $222.61	Facility		$50.88	$121.10	$222.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $37.04 / $76.95	Professional		$22.81	$37.04	$76.95
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 $25.22 / $45.53 / $68.73	Professional		$25.22	$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 $31.58 / $66.20 / $173.61	Facility		$31.58	$66.20	$173.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $42.11 / $61.30	Professional		$35.09	$42.11	$61.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $38.60 / $77.45	Facility		$35.09	$38.60	$77.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.35 / $47.80 / $103.52	Facility		$40.35	$47.80	$103.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $44.39 / $56.15	Professional		$38.60	$44.39	$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 $21.05 / $28.66 / $49.04	Professional		$21.05	$28.66	$49.04