Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.76 / $74.88 / $111.15	Facility		$44.76	$74.88	$111.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $32.36 / $67.14	Professional		$15.54	$32.36	$67.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.95 / $86.16 / $123.66	Facility		$55.95	$86.16	$123.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $44.77 / $67.45	Professional		$23.19	$44.77	$67.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $75.29 / $90.22	Professional		$34.43	$75.29	$90.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.99 / $46.48 / $115.37	Facility		$30.99	$46.48	$115.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $36.36 / $46.48	Professional		$31.27	$36.36	$46.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.43 / $37.86 / $76.00	Facility		$34.43	$37.86	$76.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.15 / $43.73 / $101.57	Facility		$36.15	$43.73	$101.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $41.32 / $51.99	Professional		$33.13	$41.32	$51.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $106.28 / $142.24	Facility		$67.14	$106.28	$142.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $67.48 / $108.71	Professional		$61.05	$67.48	$108.71
United Facility/Professional Facility Modifier Low / Median / High Price $51.65 / $51.65 / $55.09	Facility		$51.65	$51.65	$55.09
United Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $28.12 / $87.79	Professional		$20.66	$28.12	$87.79