Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.51 / $50.47 / $97.47	Facility		$43.51	$50.47	$97.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.56 / $38.42 / $67.88	Professional		$28.56	$38.42	$67.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.58 / $87.13 / $115.40	Facility		$56.58	$87.13	$115.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $41.74 / $68.09	Professional		$21.62	$41.74	$68.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $76.70 / $91.91	Professional		$34.81	$76.70	$91.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $59.63 / $107.07	Facility		$31.33	$59.63	$107.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $41.77 / $54.25	Professional		$34.81	$41.77	$54.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.81 / $38.29 / $76.84	Facility		$34.81	$38.29	$76.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.03 / $46.99 / $100.95	Facility		$40.03	$46.99	$100.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $42.12 / $54.49	Professional		$38.29	$42.12	$54.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $67.88 / $105.93 / $143.81	Facility		$67.88	$105.93	$143.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.65 / $68.73 / $109.78	Professional		$61.65	$68.73	$109.78
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.24 / $80.44	Professional		$20.89	$26.24	$80.44