Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.98 / $61.45 / $118.66	Facility		$52.98	$61.45	$118.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $41.64 / $125.87	Professional		$30.95	$41.64	$125.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.88 / $106.07 / $124.99	Facility		$68.88	$106.07	$124.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.36 / $45.15 / $82.88	Professional		$23.36	$45.15	$82.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $93.04 / $111.49	Professional		$42.38	$93.04	$111.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.14 / $64.59 / $116.20	Facility		$38.14	$64.59	$116.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $47.85 / $60.79	Professional		$42.38	$47.85	$60.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.38 / $46.62 / $93.55	Facility		$42.38	$46.62	$93.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.63 / $57.21 / $116.20	Facility		$48.63	$57.21	$116.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.15 / $48.74 / $66.31	Professional		$45.15	$48.74	$66.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $82.64 / $128.96 / $175.09	Facility		$82.64	$128.96	$175.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.81 / $83.02 / $133.22	Professional		$74.81	$83.02	$133.22
United Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $28.42 / $84.76	Professional		$25.43	$28.42	$84.76