Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.23 / $141.96 / $400.59	Facility		$57.23	$141.96	$400.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $61.38 / $147.38	Professional		$29.83	$61.38	$147.38
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 $31.58 / $65.12 / $117.03	Facility		$31.58	$65.12	$117.03
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 / $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 / $14.74 / $42.11	Professional		$14.74	$14.74	$42.11