Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.42 / $60.53 / $98.06	Facility		$48.42	$60.53	$98.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.91 / $49.52 / $112.48	Professional		$48.91	$49.52	$112.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.26 / $69.93 / $97.78	Facility		$46.26	$69.93	$97.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $53.20	Professional		$49.03	$49.03	$53.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.84 / $106.53 / $130.22	Professional		$47.84	$106.53	$130.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.82 / $62.76 / $105.41	Facility		$30.82	$62.76	$105.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $51.97 / $63.74	Professional		$49.03	$51.97	$63.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.42 / $60.53 / $101.98	Facility		$48.42	$60.53	$101.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.26 / $69.93 / $105.41	Facility		$46.26	$69.93	$105.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $53.20 / $62.31	Professional		$29.59	$53.20	$62.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46.16 / $78.28 / $156.94	Facility		$46.16	$78.28	$156.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $49.03	Professional		$49.03	$49.03	$49.03
United Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $49.03	Professional		$49.03	$49.03	$49.03