Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $154.88 / $158.49	Facility		$33.88	$154.88	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $43.65	Professional		$22.91	$26.92	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $102.33	Facility		$57.54	$57.54	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $75.86 / $91.20	Professional		$35.48	$75.86	$91.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $48.98	Professional		$28.84	$38.90	$48.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $38.90 / $54.95	Facility		$31.62	$38.90	$54.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $48.98 / $93.33	Facility		$26.30	$48.98	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $45.71 / $79.43	Professional		$35.48	$45.71	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $104.71 / $138.04	Facility		$61.66	$104.71	$138.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $29.51 / $41.69	Professional		$28.18	$29.51	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $56.23	Facility		$41.69	$41.69	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $41.69	Professional		$14.79	$14.79	$41.69