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 / $23.99 / $38.90	Professional		$19.95	$23.99	$38.90
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 $31.62 / $36.31 / $45.71	Professional		$31.62	$36.31	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $69.18 / $81.28	Professional		$31.62	$69.18	$81.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $34.67 / $42.66	Professional		$31.62	$34.67	$42.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $44.67	Facility		$31.62	$31.62	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $38.02 / $83.18	Facility		$16.60	$38.02	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $34.67 / $79.43	Professional		$31.62	$34.67	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $95.50 / $123.03	Facility		$47.86	$95.50	$123.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.84 / $38.02	Professional		$23.44	$28.84	$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