Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $451.20 / $506.84	Facility		$35.72	$451.20	$506.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.21 / $31.21 / $31.21	Professional		$31.21	$31.21	$31.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.92 / $63.92 / $63.92	Facility		$63.92	$63.92	$63.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $31.96 / $31.96	Professional		$31.96	$31.96	$31.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.55 / $66.39 / $70.75	Professional		$55.55	$66.39	$70.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.21 / $41.36 / $67.09	Facility		$31.21	$41.36	$67.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $36.58 / $60.97	Facility		$35.72	$36.58	$60.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.21 / $44.65 / $71.44	Facility		$31.21	$44.65	$71.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $44.65 / $56.08	Professional		$31.96	$44.65	$56.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $35.72 / $35.72	Professional		$35.72	$35.72	$35.72
United Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $37.60 / $43.24	Professional		$37.60	$37.60	$43.24