Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $53.70 / $154.88	Facility		$40.74	$53.70	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $33.11 / $70.79	Professional		$21.38	$33.11	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $81.28 / $95.50	Facility		$53.70	$81.28	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $29.51 / $48.98	Professional		$14.79	$29.51	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $70.79 / $89.13	Professional		$34.67	$70.79	$89.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $46.77 / $77.62	Facility		$25.70	$46.77	$77.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.95 / $104.71	Professional		$42.66	$54.95	$104.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $61.66 / $67.61	Facility		$44.67	$61.66	$67.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $48.98 / $97.72	Facility		$30.20	$48.98	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $63.10 / $91.20	Professional		$29.51	$63.10	$91.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $66.07 / $102.33	Professional		$56.23	$66.07	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $20.89 / $66.07	Professional		$18.62	$20.89	$66.07