Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.30 / $64.62 / $110.94	Facility		$55.30	$64.62	$110.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $67.02	Professional		$55.47	$55.47	$67.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.33 / $91.94 / $108.76	Facility		$52.33	$91.94	$108.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $62.80	Professional		$55.47	$55.47	$62.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.22 / $121.45 / $154.69	Professional		$96.22	$121.45	$154.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.30 / $58.24 / $119.26	Facility		$55.30	$58.24	$119.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $58.80 / $72.11	Professional		$55.47	$58.80	$72.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.60 / $55.47 / $114.77	Facility		$52.60	$55.47	$114.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.47 / $62.14 / $119.26	Facility		$55.47	$62.14	$119.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $62.80 / $69.59	Professional		$55.47	$62.80	$69.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46.53 / $79.98 / $180.90	Facility		$46.53	$79.98	$180.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $61.02	Professional		$55.47	$55.47	$61.02
United Facility/Professional Facility Modifier Low / Median / High Price $113.71 / $113.71 / $133.13	Facility		$113.71	$113.71	$133.13
United Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $63.79	Professional		$55.47	$55.47	$63.79