Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.71 / $149.18 / $388.41	Facility		$50.71	$149.18	$388.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.52 / $52.70 / $102.42	Professional		$38.52	$52.70	$102.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.56 / $54.66 / $109.20	Facility		$37.56	$54.66	$109.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $54.60 / $54.60	Professional		$54.60	$54.60	$54.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $87.36 / $101.28	Professional		$39.22	$87.36	$101.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $80.04 / $226.77	Facility		$39.81	$80.04	$226.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $43.79 / $51.75	Professional		$39.81	$43.79	$51.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.56 / $41.32 / $82.41	Facility		$37.56	$41.32	$82.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.56 / $56.93 / $109.20	Facility		$37.56	$56.93	$109.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $52.13 / $60.94	Professional		$43.19	$52.13	$60.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.24 / $52.24 / $52.24	Professional		$52.24	$52.24	$52.24
United Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $58.86 / $58.86	Professional		$49.05	$58.86	$58.86