Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $63.10 / $181.97	Facility		$51.29	$63.10	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $74.13	Professional		$25.12	$33.88	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $95.50 / $117.49	Facility		$66.07	$95.50	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $43.65 / $72.44	Professional		$17.78	$43.65	$72.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $87.10 / $107.15	Professional		$40.74	$87.10	$107.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $60.26	Facility		$40.74	$40.74	$60.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $40.74 / $57.54	Professional		$37.15	$40.74	$57.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $77.62	Facility		$40.74	$40.74	$77.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $57.54 / $120.23	Facility		$38.02	$57.54	$120.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $79.43	Professional		$36.31	$45.71	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $123.03 / $169.82	Facility		$61.66	$123.03	$169.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $34.67 / $48.98	Professional		$32.36	$34.67	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $64.57	Facility		$48.98	$48.98	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $24.55 / $77.62	Professional		$21.88	$24.55	$77.62