Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $60.24 / $95.94	Facility		$48.00	$60.24	$95.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $48.45 / $60.00	Professional		$47.97	$48.45	$60.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $68.52 / $96.46	Facility		$45.26	$68.52	$96.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $54.31	Professional		$47.97	$47.97	$54.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.27 / $106.81 / $138.94	Professional		$83.27	$106.81	$138.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $48.42 / $103.14	Facility		$47.97	$48.42	$103.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $51.33 / $62.36	Professional		$47.97	$51.33	$62.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $48.00 / $90.66	Facility		$47.97	$48.00	$90.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $55.00 / $97.16	Facility		$47.97	$55.00	$97.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $60.50 / $63.36	Professional		$47.97	$60.50	$63.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42.85 / $77.73 / $177.10	Facility		$42.85	$77.73	$177.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $47.97	Professional		$47.97	$47.97	$47.97
United Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $57.56	Professional		$47.97	$47.97	$57.56