Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.49 / $55.61 / $91.90	Facility		$44.49	$55.61	$91.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $45.89 / $2,855.82	Professional		$44.10	$45.89	$2,855.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.61 / $61.98 / $86.76	Facility		$41.61	$61.98	$86.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $47.85	Professional		$44.11	$44.11	$47.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.01 / $98.00 / $114.91	Professional		$44.01	$98.00	$114.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.27 / $63.08 / $94.84	Facility		$32.27	$63.08	$94.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $46.76 / $57.34	Professional		$44.11	$46.76	$57.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $51.16 / $92.35	Facility		$44.11	$51.16	$92.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.31 / $47.13 / $81.84	Facility		$44.31	$47.13	$81.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $47.85 / $54.75	Professional		$27.89	$47.85	$54.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $50.73 / $128.56	Facility		$44.11	$50.73	$128.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $44.11	Professional		$44.11	$44.11	$44.11
United Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $44.11	Professional		$44.11	$44.11	$44.11