Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $83.18 / $4,570.88	Facility		$45.71	$83.18	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $77.62 / $4,365.16	Professional		$44.67	$77.62	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $53.70 / $79.43	Facility		$42.66	$53.70	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $48.98	Professional		$45.71	$45.71	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $97.72 / $112.20	Professional		$44.67	$97.72	$112.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $47.86 / $91.20	Facility		$40.74	$47.86	$91.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $114.82	Professional		$39.81	$47.86	$114.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $56.23 / $93.33	Facility		$44.67	$56.23	$93.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $53.70 / $112.20	Facility		$38.90	$53.70	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $46.77 / $79.43	Professional		$39.81	$46.77	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $47.86 / $112.20	Facility		$38.02	$47.86	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $109.65	Facility		$45.71	$45.71	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71