Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.88 / $48.67 / $79.73	Facility		$39.88	$48.67	$79.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $40.27 / $86.72	Professional		$39.86	$40.27	$86.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $54.65 / $77.22	Facility		$37.61	$54.65	$77.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $43.25	Professional		$39.86	$39.86	$43.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $87.36 / $101.28	Professional		$39.22	$87.36	$101.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.49 / $50.68 / $85.72	Facility		$36.49	$50.68	$85.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $42.26 / $51.83	Professional		$39.86	$42.26	$51.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $45.89 / $82.93	Facility		$39.86	$45.89	$82.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.85 / $41.89 / $57.01	Facility		$38.85	$41.89	$57.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $43.25 / $48.38	Professional		$33.34	$43.25	$48.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $42.01 / $109.34	Facility		$39.86	$42.01	$109.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $39.86	Professional		$39.86	$39.86	$39.86
United Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $39.86	Professional		$39.86	$39.86	$39.86