Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $81.28 / $134.90	Facility		$57.54	$81.28	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $58.88 / $144.54	Professional		$57.54	$58.88	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $77.62 / $109.65	Facility		$53.70	$77.62	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $61.66	Professional		$57.54	$57.54	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $120.23 / $144.54	Professional		$56.23	$120.23	$144.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $60.26 / $114.82	Facility		$57.54	$60.26	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $60.26 / $114.82	Professional		$57.54	$60.26	$114.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $70.79 / $117.49	Facility		$56.23	$70.79	$117.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $60.26 / $109.65	Facility		$57.54	$60.26	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $61.66 / $79.43	Professional		$54.95	$61.66	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $69.18 / $165.96	Facility		$56.23	$69.18	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $138.04	Facility		$57.54	$57.54	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54