Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $60.26 / $186.21	Facility		$40.74	$60.26	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $41.69 / $190.55	Professional		$40.74	$41.69	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $120.23	Facility		$67.61	$67.61	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $45.71 / $79.43	Professional		$20.89	$45.71	$79.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $89.13 / $109.65	Professional		$41.69	$89.13	$109.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $58.88	Facility		$41.69	$41.69	$58.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $45.71 / $61.66	Professional		$40.74	$45.71	$61.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $43.65 / $61.66	Facility		$41.69	$43.65	$61.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $58.88 / $120.23	Facility		$41.69	$58.88	$120.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $47.86 / $63.10	Professional		$41.69	$47.86	$63.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $91.20 / $162.18	Facility		$61.66	$91.20	$162.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $35.48 / $50.12	Professional		$33.11	$35.48	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $66.07	Facility		$50.12	$50.12	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $27.54 / $48.98	Professional		$24.55	$27.54	$48.98