Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $151.36 / $151.36	Facility		$32.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $41.69	Professional		$21.88	$25.70	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $97.72	Facility		$54.95	$54.95	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $72.44 / $89.13	Professional		$33.88	$72.44	$89.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $46.77	Facility		$33.88	$33.88	$46.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $47.86	Professional		$28.18	$37.15	$47.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $37.15 / $52.48	Facility		$30.20	$37.15	$52.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $46.77 / $89.13	Facility		$25.12	$46.77	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $79.43	Professional		$33.88	$43.65	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $102.33 / $134.90	Facility		$58.88	$102.33	$134.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $28.84 / $40.74	Professional		$26.92	$28.84	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $53.70	Facility		$40.74	$40.74	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $40.74	Professional		$14.13	$14.13	$40.74