Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $49.79 / $79.66	Facility		$39.83	$49.79	$79.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $41.43 / $68.48	Professional		$39.83	$41.43	$68.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.57 / $56.42 / $79.73	Facility		$37.57	$56.42	$79.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $43.21	Professional		$39.83	$39.83	$43.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $87.36 / $104.67	Professional		$39.22	$87.36	$104.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $56.96 / $85.63	Facility		$39.83	$56.96	$85.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $42.21 / $51.78	Professional		$39.83	$42.21	$51.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.82 / $49.79 / $82.85	Facility		$39.82	$49.79	$82.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.63 / $56.42 / $85.63	Facility		$39.63	$56.42	$85.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $46.96 / $49.84	Professional		$39.83	$46.96	$49.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $63.81 / $145.54	Facility		$40.15	$63.81	$145.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Professional		$39.83	$39.83	$39.83
United Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Professional		$39.83	$39.83	$39.83