Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $47.86 / $114.82	Facility		$27.54	$47.86	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $169.82	Professional		$18.20	$22.91	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $67.61 / $91.20	Facility		$41.69	$67.61	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.70 / $45.71	Professional		$16.98	$25.70	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $54.95 / $64.57	Professional		$25.70	$54.95	$64.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $51.29	Facility		$25.70	$25.70	$51.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.18 / $41.69	Professional		$21.88	$28.18	$41.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $47.86	Facility		$25.70	$25.70	$47.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $35.48 / $85.11	Facility		$22.91	$35.48	$85.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.18 / $79.43	Professional		$21.88	$28.18	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $75.86 / $104.71	Facility		$38.02	$75.86	$104.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.88 / $30.90	Professional		$16.22	$21.88	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $40.74	Facility		$30.90	$30.90	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.45 / $32.36	Professional		$10.72	$14.45	$32.36