Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $53.70 / $125.89	Facility		$52.48	$53.70	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $52.48 / $53.70	Professional		$50.12	$52.48	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $67.61 / $72.44	Professional		$28.18	$67.61	$72.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $87.10	Facility		$47.86	$47.86	$87.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $50.12 / $52.48	Professional		$47.86	$50.12	$52.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $75.86 / $154.88	Facility		$52.48	$75.86	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $79.43	Professional		$53.70	$53.70	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $436.52 / $645.65	Facility		$199.53	$436.52	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $128.82 / $169.82	Facility		$104.71	$128.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48