Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.06 / $56.02 / $82.22	Facility		$41.06	$56.02	$82.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.52 / $107.05	Professional		$41.11	$41.52	$107.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.78 / $58.91 / $81.28	Facility		$38.78	$58.91	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $44.60	Professional		$41.11	$41.11	$44.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $90.19 / $109.78	Professional		$40.50	$90.19	$109.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $58.79 / $88.39	Facility		$41.11	$58.79	$88.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $44.12 / $53.44	Professional		$41.11	$44.12	$53.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.06 / $51.33 / $123.18	Facility		$41.06	$51.33	$123.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.19 / $46.20 / $81.28	Facility		$44.19	$46.20	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $47.09 / $53.23	Professional		$41.11	$47.09	$53.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $47.28 / $144.29	Facility		$41.11	$47.28	$144.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
United Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11