Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.03 / $83.57 / $18,006.56	Facility		$48.03	$83.57	$18,006.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $49.45 / $82.61	Professional		$48.51	$49.45	$82.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.19 / $69.34 / $96.70	Facility		$46.19	$69.34	$96.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $53.12	Professional		$48.96	$48.96	$53.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $105.11 / $129.36	Professional		$47.20	$105.11	$129.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $70.01 / $105.26	Facility		$48.96	$70.01	$105.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $51.90 / $63.65	Professional		$48.96	$51.90	$63.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.03 / $60.04 / $101.84	Facility		$48.03	$60.04	$101.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.85 / $52.95 / $96.70	Facility		$50.85	$52.95	$96.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.53 / $53.16 / $61.58	Professional		$45.53	$53.16	$61.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $53.17 / $149.47	Facility		$48.96	$53.17	$149.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $48.96	Professional		$48.96	$48.96	$48.96
United Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $48.96	Professional		$48.96	$48.96	$48.96