Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.72 / $49.72 / $84.58	Facility		$49.72	$49.72	$84.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $47.62 / $77.23	Professional		$31.32	$47.62	$77.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.05 / $51.05 / $51.05	Facility		$51.05	$51.05	$51.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $49.99 / $59.43	Professional		$49.99	$49.99	$59.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.74 / $89.68 / $132.29	Professional		$59.74	$89.68	$132.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.81 / $57.16 / $102.52	Facility		$34.81	$57.16	$102.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.01 / $86.67 / $134.49	Professional		$59.01	$86.67	$134.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $66.47 / $110.79 / $123.95	Facility		$66.47	$110.79	$123.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.57 / $54.69 / $102.52	Facility		$34.57	$54.69	$102.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.37 / $75.90 / $136.66	Professional		$42.37	$75.90	$136.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $93.54 / $139.97	Professional		$58.82	$93.54	$139.97
United Facility/Professional Professional Modifier Low / Median / High Price $98.80 / $135.53 / $184.04	Professional		$98.80	$135.53	$184.04