Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $62.91 / $104.94	Facility		$52.04	$62.91	$104.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.56 / $89.51	Professional		$52.47	$52.56	$89.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $85.37 / $101.84	Facility		$49.50	$85.37	$101.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $59.40	Professional		$52.47	$52.47	$59.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.59 / $114.35 / $143.57	Professional		$90.59	$114.35	$143.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $55.09 / $112.81	Facility		$52.04	$55.09	$112.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $55.62 / $68.20	Professional		$52.47	$55.62	$68.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $60.39 / $157.41	Facility		$52.04	$60.39	$157.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.47 / $60.49 / $101.27	Facility		$52.47	$60.49	$101.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $60.49 / $66.83	Professional		$52.47	$60.49	$66.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.36 / $66.54 / $162.61	Facility		$44.36	$66.54	$162.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $62.96	Professional		$52.47	$52.47	$62.96
United Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $60.87	Professional		$52.47	$52.47	$60.87