Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.65 / $70.72 / $115.86	Facility		$49.65	$70.72	$115.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $41.38 / $62.07	Professional		$41.38	$41.38	$62.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.25 / $67.25 / $120.24	Facility		$67.25	$67.25	$120.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.38 / $47.81 / $79.34	Professional		$22.38	$47.81	$79.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $90.90 / $108.94	Professional		$41.38	$90.90	$108.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $43.45 / $91.04	Facility		$41.38	$43.45	$91.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $45.52 / $55.86	Professional		$41.38	$45.52	$55.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $45.52 / $62.07	Facility		$41.38	$45.52	$62.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.45 / $52.35 / $104.58	Facility		$43.45	$52.35	$104.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.52 / $47.81 / $60.00	Professional		$45.52	$47.81	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $70.59 / $125.92 / $166.39	Facility		$70.59	$125.92	$166.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $81.66 / $130.03	Professional		$73.02	$81.66	$130.03
United Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $27.71 / $46.80	Professional		$24.83	$27.71	$46.80