Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.96 / $37.40 / $72.23	Facility		$30.96	$37.40	$72.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.93 / $25.03 / $139.97	Professional		$22.93	$25.03	$139.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.93 / $67.92 / $92.61	Facility		$41.93	$67.92	$92.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $29.74 / $46.41	Professional		$18.47	$29.74	$46.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $63.09 / $68.08	Professional		$25.80	$63.09	$68.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.35 / $25.80 / $86.32	Facility		$21.35	$25.80	$86.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $25.80 / $42.00	Professional		$21.82	$25.80	$42.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.80 / $34.83 / $56.95	Facility		$25.80	$34.83	$56.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.39 / $30.96 / $74.81	Facility		$23.39	$30.96	$74.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.80 / $28.38 / $36.11	Professional		$21.80	$28.38	$36.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $50.31 / $79.63 / $106.59	Facility		$50.31	$79.63	$106.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $23.48 / $64.00	Professional		$16.39	$23.48	$64.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $14.75 / $30.96	Professional		$10.84	$14.75	$30.96