Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.74 / $82.13 / $92.64	Facility		$52.74	$82.13	$92.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.78 / $84.38	Professional		$46.32	$46.78	$84.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.70 / $89.48 / $92.70	Facility		$43.70	$89.48	$92.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $52.44	Professional		$46.32	$46.32	$52.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.40 / $116.08 / $151.00	Professional		$88.40	$116.08	$151.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $52.74 / $105.91	Facility		$46.32	$52.74	$105.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $52.34 / $60.22	Professional		$46.32	$52.34	$60.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $52.74 / $96.14	Facility		$46.32	$52.74	$96.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $56.05 / $105.40	Facility		$46.32	$56.05	$105.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $65.88 / $86.10	Professional		$46.35	$65.88	$86.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $70.93 / $118.88 / $208.79	Facility		$70.93	$118.88	$208.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $55.58	Professional		$46.32	$46.32	$55.58
United Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $53.73	Professional		$46.32	$46.32	$53.73