Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.40 / $84.40 / $147.29	Facility		$84.40	$84.40	$147.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.38 / $28.78 / $32.84	Professional		$24.38	$28.78	$32.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.03 / $55.03 / $98.38	Facility		$55.03	$55.03	$98.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $27.09 / $27.09	Professional		$27.09	$27.09	$27.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $74.58 / $89.36	Professional		$33.86	$74.58	$89.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.40 / $32.84 / $74.48	Facility		$25.40	$32.84	$74.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $37.25 / $47.40	Professional		$33.86	$37.25	$47.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $37.92 / $59.26	Facility		$33.86	$37.92	$59.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.84 / $44.86 / $82.17	Facility		$32.84	$44.86	$82.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.25 / $37.25 / $47.40	Professional		$37.25	$37.25	$47.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $67.72 / $103.04 / $132.93	Facility		$67.72	$103.04	$132.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.15 / $66.69 / $106.58	Professional		$54.15	$66.69	$106.58
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.22 / $33.86	Professional		$14.22	$14.22	$33.86