Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $40.29 / $53.74	Facility		$40.29	$40.29	$53.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $47.39 / $216.48	Professional		$35.04	$47.39	$216.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.88 / $48.88 / $48.88	Facility		$48.88	$48.88	$48.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $38.69 / $38.69	Professional		$38.69	$38.69	$38.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.72 / $92.06 / $102.43	Professional		$67.72	$92.06	$102.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $37.86 / $57.30 / $111.62	Facility		$37.86	$57.30	$111.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $79.90 / $137.91	Professional		$69.38	$79.90	$137.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.20 / $78.88 / $88.40	Facility		$56.20	$78.88	$88.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.34 / $78.04 / $105.55	Facility		$41.34	$78.04	$105.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $89.18 / $109.62	Professional		$50.62	$89.18	$109.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.54 / $103.38 / $131.09	Professional		$69.54	$103.38	$131.09
United Facility/Professional Professional Modifier Low / Median / High Price $56.65 / $83.87 / $127.42	Professional		$56.65	$83.87	$127.42