Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.51 / $76.50 / $93.72	Facility		$43.51	$76.50	$93.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $30.01 / $60.04	Professional		$24.10	$30.01	$60.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.40 / $83.78 / $97.27	Facility		$54.40	$83.78	$97.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $35.61 / $64.22	Professional		$16.91	$35.61	$64.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $73.15 / $87.66	Professional		$33.47	$73.15	$87.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.12 / $46.58 / $83.83	Facility		$30.12	$46.58	$83.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $33.47 / $46.86	Professional		$33.47	$33.47	$46.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $36.82 / $73.89	Facility		$33.47	$36.82	$73.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $45.18 / $88.13	Facility		$35.14	$45.18	$88.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $37.95 / $48.20	Professional		$35.29	$37.95	$48.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $65.27 / $101.85 / $138.28	Facility		$65.27	$101.85	$138.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $66.01 / $105.51	Professional		$59.25	$66.01	$105.51
United Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $20.49 / $66.94	Professional		$20.07	$20.49	$66.94