Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $53.70 / $158.49	Facility		$43.65	$53.70	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $63.10	Professional		$22.91	$32.36	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $91.20 / $114.82	Facility		$56.23	$91.20	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $38.02 / $67.61	Professional		$21.38	$38.02	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $74.13 / $91.20	Professional		$34.67	$74.13	$91.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $60.26	Facility		$34.67	$34.67	$60.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $41.69 / $52.48	Professional		$34.67	$41.69	$52.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $66.07	Facility		$34.67	$34.67	$66.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $51.29 / $102.33	Facility		$32.36	$51.29	$102.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $79.43	Professional		$32.36	$45.71	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $104.71 / $144.54	Facility		$52.48	$104.71	$144.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $29.51 / $41.69	Professional		$28.18	$29.51	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $56.23	Facility		$41.69	$41.69	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $69.18	Professional		$20.89	$26.30	$69.18