Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.67 / $58.26 / $71.02	Facility		$41.67	$58.26	$71.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.96 / $37.27 / $100.59	Professional		$22.96	$37.27	$100.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.39 / $31.39 / $31.39	Facility		$31.39	$31.39	$31.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $57.46 / $101.63	Professional		$34.72	$57.46	$101.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.63 / $61.87 / $95.46	Professional		$44.63	$61.87	$95.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.20 / $55.57 / $86.32	Facility		$29.20	$55.57	$86.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $61.13 / $92.07	Professional		$38.49	$61.13	$92.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.69 / $68.34 / $77.05	Facility		$44.69	$68.34	$77.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $55.57 / $94.10	Facility		$29.99	$55.57	$94.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.09 / $65.73 / $98.68	Professional		$45.09	$65.73	$98.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $68.73 / $118.59 / $158.06	Facility		$68.73	$118.59	$158.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $41.54 / $64.76 / $101.83	Professional		$41.54	$64.76	$101.83
United Facility/Professional Professional Modifier Low / Median / High Price $51.80 / $75.04 / $119.14	Professional		$51.80	$75.04	$119.14