Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $70.18 / $373.56	Facility		$35.09	$70.18	$373.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $33.52 / $48.18	Professional		$29.83	$33.52	$48.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.03 / $87.82 / $125.27	Facility		$57.03	$87.82	$125.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $18.45 / $18.45	Professional		$18.45	$18.45	$18.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $76.70 / $91.91	Professional		$35.09	$76.70	$91.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.32 / $34.04 / $77.20	Facility		$26.32	$34.04	$77.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $38.60 / $49.13	Professional		$35.09	$38.60	$49.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $61.41	Facility		$35.09	$35.09	$61.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $42.11 / $101.96	Facility		$32.97	$42.11	$101.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $38.60 / $52.95	Professional		$18.45	$38.60	$52.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $68.43 / $108.33 / $144.97	Facility		$68.43	$108.33	$144.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $68.73 / $110.15	Professional		$56.32	$68.73	$110.15
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.22 / $42.11	Professional		$14.74	$20.22	$42.11