Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $95.50 / $8,709.64	Facility		$52.48	$95.50	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $50.12 / $6,165.95	Professional		$46.77	$50.12	$6,165.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $66.07 / $91.20	Facility		$44.67	$66.07	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $51.29	Professional		$46.77	$46.77	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $97.72 / $117.49	Professional		$45.71	$97.72	$117.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $50.12 / $114.82	Facility		$46.77	$50.12	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $50.12 / $95.50	Professional		$46.77	$50.12	$95.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $56.23 / $93.33	Facility		$45.71	$56.23	$93.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $50.12 / $93.33	Facility		$47.86	$50.12	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $51.29 / $79.43	Professional		$48.98	$51.29	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $53.70 / $131.83	Facility		$46.77	$53.70	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $112.20	Facility		$46.77	$46.77	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77