Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $35.90 / $35.92	Facility		$35.90	$35.90	$35.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $44.90	Professional		$35.92	$35.92	$44.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.38 / $58.38 / $104.37	Facility		$58.38	$58.38	$104.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $35.90 / $35.90	Professional		$35.90	$35.90	$35.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $78.83 / $94.46	Professional		$35.92	$78.83	$94.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $35.92 / $79.02	Facility		$35.92	$35.92	$79.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $43.10 / $50.29	Professional		$35.92	$43.10	$50.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $35.92 / $51.18	Facility		$35.92	$35.92	$51.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $45.62 / $87.98	Facility		$35.92	$45.62	$87.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $39.51 / $51.01	Professional		$39.50	$39.51	$51.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $61.36 / $99.15 / $141.01	Facility		$61.36	$99.15	$141.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.40 / $70.77 / $112.97	Professional		$57.40	$70.77	$112.97
United Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $15.08 / $35.92	Professional		$15.08	$15.08	$35.92