Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $117.49 / $117.49	Facility		$38.02	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $109.65	Professional		$38.02	$38.02	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $63.10 / $100.00	Facility		$36.31	$63.10	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $46.77	Professional		$38.90	$38.90	$46.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $245.47 / $323.59	Professional		$128.82	$245.47	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $43.65 / $141.25	Facility		$38.90	$43.65	$141.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $239.88 / $316.23	Professional		$61.66	$239.88	$316.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $48.98 / $57.54	Facility		$38.90	$48.98	$57.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $43.65 / $165.96	Facility		$36.31	$43.65	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $79.43 / $125.89	Professional		$56.23	$79.43	$125.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $125.89 / $125.89	Professional		$61.66	$125.89	$125.89