Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $295.12 / $1,096.48	Facility		$81.28	$295.12	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $83.18 / $346.74	Professional		$39.81	$83.18	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $58.88 / $83.18	Facility		$38.02	$58.88	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $48.98	Professional		$39.81	$39.81	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $87.10 / $109.65	Professional		$40.74	$87.10	$109.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $48.98 / $407.38	Facility		$39.81	$48.98	$407.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $151.36	Professional		$39.81	$47.86	$151.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $51.29 / $85.11	Facility		$40.74	$51.29	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $58.88 / $134.90	Facility		$39.81	$58.88	$134.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $79.43	Professional		$39.81	$52.48	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $46.77	Professional		$39.81	$39.81	$46.77