Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.09 / $68.86 / $4,992.64	Facility		$55.09	$68.86	$4,992.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $57.89 / $2,473.12	Professional		$55.65	$57.89	$2,473.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.97 / $88.24 / $103.70	Facility		$51.97	$88.24	$103.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $63.00	Professional		$55.65	$55.65	$63.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.66 / $120.74 / $149.13	Professional		$95.66	$120.74	$149.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.09 / $58.43 / $119.65	Facility		$55.09	$58.43	$119.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $58.99 / $72.34	Professional		$55.65	$58.99	$72.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.09 / $63.00 / $166.95	Facility		$55.09	$63.00	$166.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $58.63 / $103.94	Facility		$55.65	$58.63	$103.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $59.50 / $67.92	Professional		$51.68	$59.50	$67.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.24 / $64.86 / $154.82	Facility		$43.24	$64.86	$154.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $66.78	Professional		$55.65	$55.65	$66.78
United Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $64.00	Professional		$55.65	$55.65	$64.00