Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.43 / $63.04 / $9,574.03	Facility		$50.43	$63.04	$9,574.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $61.02 / $5,973.10	Professional		$50.74	$61.02	$5,973.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.87 / $69.73 / $98.36	Facility		$47.87	$69.73	$98.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $55.04	Professional		$50.74	$50.74	$55.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $110.78 / $129.36	Professional		$49.75	$110.78	$129.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $72.56 / $124.27	Facility		$50.74	$72.56	$124.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $53.78 / $65.95	Professional		$50.74	$53.78	$65.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.43 / $63.04 / $105.54	Facility		$50.43	$63.04	$105.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.39 / $52.70 / $95.18	Facility		$49.39	$52.70	$95.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.50 / $55.05 / $61.60	Professional		$41.50	$55.05	$61.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $52.64 / $141.66	Facility		$50.74	$52.64	$141.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $50.74	Professional		$50.74	$50.74	$50.74
United Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $50.74	Professional		$50.74	$50.74	$50.74