Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.01 / $67.56 / $112.14	Facility		$56.01	$67.56	$112.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.01 / $58.33 / $4,744.22	Professional		$56.01	$58.33	$4,744.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.89 / $77.70 / $109.94	Facility		$52.89	$77.70	$109.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $60.83	Professional		$56.07	$56.07	$60.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.18 / $122.88 / $144.68	Professional		$55.18	$122.88	$144.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.18 / $69.83 / $120.55	Facility		$53.18	$69.83	$120.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $59.43 / $72.89	Professional		$56.07	$59.43	$72.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.01 / $70.01 / $116.63	Facility		$56.01	$70.01	$116.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.93 / $58.74 / $80.18	Facility		$53.93	$58.74	$80.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $60.82 / $68.64	Professional		$45.32	$60.82	$68.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $56.02 / $69.26 / $164.91	Facility		$56.02	$69.26	$164.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $56.07	Professional		$56.07	$56.07	$56.07
United Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $56.07 / $56.07	Professional		$56.07	$56.07	$56.07