Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.38 / $58.23 / $95.06	Facility		$48.38	$58.23	$95.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $49.45 / $5,153.75	Professional		$47.53	$49.45	$5,153.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.83 / $69.77 / $96.12	Facility		$44.83	$69.77	$96.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $47.52 / $51.56	Professional		$47.52	$47.52	$51.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $106.53 / $129.36	Professional		$47.53	$106.53	$129.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.53 / $67.97 / $128.21	Facility		$47.53	$67.97	$128.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $50.38 / $61.79	Professional		$47.53	$50.38	$61.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.52 / $59.41 / $100.40	Facility		$47.52	$59.41	$100.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.48 / $53.15 / $89.58	Facility		$46.48	$53.15	$89.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.74 / $55.99 / $64.38	Professional		$41.74	$55.99	$64.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.53 / $49.69 / $130.24	Facility		$47.53	$49.69	$130.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $47.53 / $47.53	Professional		$47.53	$47.53	$47.53
United Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $47.53 / $47.53	Professional		$47.53	$47.53	$47.53