Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $106.16 / $649.33	Facility		$53.08	$106.16	$649.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $53.61 / $105.28	Professional		$53.07	$53.61	$105.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.80 / $91.80 / $91.80	Facility		$91.80	$91.80	$91.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $45.90 / $45.90	Professional		$45.90	$45.90	$45.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.31 / $116.49 / $139.57	Professional		$52.31	$116.49	$139.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $75.90 / $130.31	Facility		$53.08	$75.90	$130.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $58.88 / $69.00	Professional		$53.08	$58.88	$69.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $84.93 / $79,999.20	Facility		$53.08	$84.93	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $75.90 / $130.31	Facility		$53.08	$75.90	$130.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $62.59 / $66.34	Professional		$45.90	$62.59	$66.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $53.44 / $84.93 / $193.86	Facility		$53.44	$84.93	$193.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $53.08	Professional		$53.08	$53.08	$53.08
United Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $53.08	Professional		$53.08	$53.08	$53.08