Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $67.61 / $112.20	Facility		$39.81	$67.61	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $39.81 / $69.18	Professional		$38.90	$39.81	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $89.13 / $93.33	Facility		$38.02	$89.13	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $46.77	Professional		$39.81	$39.81	$46.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $131.83	Professional		$72.44	$100.00	$131.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $42.66 / $79.43	Facility		$39.81	$42.66	$79.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $46.77 / $89.13	Professional		$39.81	$46.77	$89.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $52.48 / $74.13	Facility		$46.77	$52.48	$74.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $40.74 / $100.00	Facility		$39.81	$40.74	$100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $52.48 / $79.43	Professional		$7.94	$52.48	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $120.23 / $208.93	Facility		$70.79	$120.23	$208.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $39.81 / $56.23	Professional		$38.02	$39.81	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $95.50	Facility		$39.81	$39.81	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $47.86	Professional		$39.81	$39.81	$47.86