Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.69 / $46.07 / $151.72	Facility		$40.69	$46.07	$151.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $33.46 / $96.67	Professional		$21.15	$33.46	$96.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.63 / $82.03 / $95.88	Facility		$53.63	$82.03	$95.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.59 / $34.65 / $55.81	Professional		$14.59	$34.65	$55.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $74.90 / $82.56	Professional		$32.54	$74.90	$82.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $47.85 / $78.02	Facility		$27.54	$47.85	$78.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.16 / $57.73 / $108.21	Professional		$49.16	$57.73	$108.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $58.30 / $67.00	Facility		$42.14	$58.30	$67.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.78 / $79.52 / $101.85	Facility		$42.78	$79.52	$101.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $63.36 / $92.15	Professional		$34.65	$63.36	$92.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.46 / $70.17 / $102.32	Professional		$57.46	$70.17	$102.32
United Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $20.79 / $80.06	Professional		$19.19	$20.79	$80.06