Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $64.57 / $190.55	Facility		$52.48	$64.57	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $77.62	Professional		$28.18	$36.31	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $112.20 / $125.89	Facility		$69.18	$112.20	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $45.71 / $83.18	Professional		$22.91	$45.71	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $91.20 / $112.20	Professional		$42.66	$91.20	$112.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $89.13	Facility		$42.66	$42.66	$89.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $48.98 / $60.26	Professional		$42.66	$48.98	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $79.43	Facility		$42.66	$42.66	$79.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $61.66 / $125.89	Facility		$39.81	$61.66	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $79.43	Professional		$38.02	$52.48	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $125.89 / $173.78	Facility		$63.10	$125.89	$173.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $36.31 / $51.29	Professional		$33.88	$36.31	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $67.61	Facility		$51.29	$51.29	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.18 / $85.11	Professional		$25.70	$28.18	$85.11