Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $169.82 / $223.87	Facility		$91.20	$169.82	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $52.48	Professional		$19.95	$33.11	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $125.89	Facility		$70.79	$70.79	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $93.33 / $114.82	Professional		$43.65	$93.33	$114.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $95.50	Facility		$43.65	$43.65	$95.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $47.86 / $60.26	Professional		$41.69	$47.86	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $47.86 / $67.61	Facility		$38.90	$47.86	$67.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $60.26 / $114.82	Facility		$32.36	$60.26	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $79.43	Professional		$43.65	$56.23	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $128.82 / $169.82	Facility		$64.57	$128.82	$169.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $37.15 / $52.48	Professional		$34.67	$37.15	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $69.18	Facility		$52.48	$52.48	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $52.48	Professional		$18.20	$18.20	$52.48