Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $141.25 / $141.25	Facility		$30.20	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.91 / $37.15	Professional		$19.95	$22.91	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $91.20	Facility		$51.29	$51.29	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $31.62 / $44.67	Professional		$25.12	$31.62	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $67.61 / $81.28	Professional		$31.62	$67.61	$81.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $38.02	Facility		$31.62	$31.62	$38.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $34.67 / $44.67	Professional		$31.62	$34.67	$44.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $34.67 / $48.98	Facility		$28.18	$34.67	$48.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $43.65 / $91.20	Facility		$30.20	$43.65	$91.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $34.67 / $79.43	Professional		$29.51	$34.67	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $93.33 / $123.03	Facility		$54.95	$93.33	$123.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.18 / $38.02	Professional		$23.44	$28.18	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $50.12	Facility		$38.02	$38.02	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $38.02	Professional		$13.18	$13.18	$38.02