Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.78 / $73.78 / $128.76	Facility		$73.78	$73.78	$128.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $27.96 / $28.71	Professional		$23.68	$27.96	$28.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.10 / $48.10 / $86.00	Facility		$48.10	$48.10	$86.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $19.23 / $19.23	Professional		$19.23	$19.23	$19.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $65.34 / $78.29	Professional		$29.60	$65.34	$78.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $28.71 / $65.12	Facility		$22.20	$28.71	$65.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $32.56 / $39.96	Professional		$29.60	$32.56	$39.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $33.15 / $51.80	Facility		$29.60	$33.15	$51.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.64 / $37.59 / $77.92	Facility		$26.64	$37.59	$77.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $34.53 / $46.05	Professional		$32.56	$34.53	$46.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $59.20 / $90.07 / $116.21	Facility		$59.20	$90.07	$116.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $58.52 / $92.72	Professional		$47.11	$58.52	$92.72
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $12.43 / $32.89	Professional		$12.43	$12.43	$32.89