Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.35 / $51.17 / $98.81	Facility		$42.35	$51.17	$98.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $34.22 / $51.17	Professional		$11.11	$34.22	$51.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.35 / $88.32 / $102.54	Facility		$57.35	$88.32	$102.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $37.18 / $63.45	Professional		$8.52	$37.18	$63.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $85.97 / $92.77	Professional		$35.29	$85.97	$92.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.08 / $35.29 / $73.59	Facility		$15.08	$35.29	$73.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $35.29 / $44.11	Professional		$16.32	$35.29	$44.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.76 / $37.04 / $77.90	Facility		$31.76	$37.04	$77.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $42.35 / $76.93	Facility		$25.70	$42.35	$76.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $38.82 / $49.41	Professional		$15.50	$38.82	$49.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $68.81 / $104.17 / $138.55	Facility		$68.81	$104.17	$138.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $31.58 / $86.97	Professional		$12.27	$31.58	$86.97
United Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $14.82 / $42.35	Professional		$6.85	$14.82	$42.35