Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.42 / $53.31 / $365.09	Facility		$41.42	$53.31	$365.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $30.71 / $83.33	Professional		$14.40	$30.71	$83.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $108.00 / $120.00	Facility		$75.00	$108.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $67.59 / $105.85	Professional		$35.90	$67.59	$105.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.93 / $87.94 / $100.68	Professional		$71.93	$87.94	$100.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.39 / $46.80 / $105.00	Facility		$29.39	$46.80	$105.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.63 / $64.38 / $88.63	Professional		$44.63	$64.38	$88.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.80 / $71.40 / $81.73	Facility		$48.80	$71.40	$81.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.53 / $94.39 / $120.00	Facility		$87.53	$94.39	$120.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $70.40 / $101.20	Professional		$43.45	$70.40	$101.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $67.50 / $101.26 / $143.77	Facility		$67.50	$101.26	$143.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $44.74 / $101.20	Professional		$42.50	$44.74	$101.20
United Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $39.70 / $93.67	Professional		$35.72	$39.70	$93.67