Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $81.28 / $131.83	Facility		$56.23	$81.28	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $72.44	Professional		$56.23	$56.23	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $91.20 / $109.65	Facility		$52.48	$91.20	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $63.10	Professional		$56.23	$56.23	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $141.25	Professional		$91.20	$120.23	$141.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $58.88 / $112.20	Facility		$56.23	$58.88	$112.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $58.88 / $79.43	Professional		$52.48	$58.88	$79.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $54.95 / $89.13	Facility		$52.48	$54.95	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $58.88 / $104.71	Facility		$56.23	$58.88	$104.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $79.43	Professional		$56.23	$67.61	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $85.11 / $162.18	Facility		$46.77	$85.11	$162.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $61.66	Professional		$56.23	$56.23	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $134.90	Facility		$56.23	$56.23	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $63.10	Professional		$56.23	$56.23	$63.10