Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.80 / $90.62 / $8,634.37	Facility		$47.80	$90.62	$8,634.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $47.80 / $4,338.45	Professional		$45.31	$47.80	$4,338.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.75 / $65.75 / $90.26	Facility		$42.75	$65.75	$90.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $45.31 / $49.16	Professional		$45.31	$45.31	$49.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $105.11 / $122.56	Professional		$45.31	$105.11	$122.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.31 / $64.79 / $115.24	Facility		$45.31	$64.79	$115.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $48.03 / $58.90	Professional		$45.31	$48.03	$58.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.31 / $56.64 / $99.20	Facility		$45.31	$56.64	$99.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.13 / $53.91 / $88.92	Facility		$46.13	$53.91	$88.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.33 / $51.72 / $62.11	Professional		$44.33	$51.72	$62.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $45.31 / $50.63 / $135.88	Facility		$45.31	$50.63	$135.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $45.31 / $45.31	Professional		$45.31	$45.31	$45.31
United Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $45.31 / $45.31	Professional		$45.31	$45.31	$45.31