Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $49.40 / $90.55	Facility		$27.30	$49.40	$90.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $22.93 / $163.84	Professional		$22.16	$22.93	$163.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $67.06 / $91.48	Facility		$41.40	$67.06	$91.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $29.32 / $45.82	Professional		$18.29	$29.32	$45.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $62.33 / $67.23	Professional		$25.48	$62.33	$67.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.09 / $25.48 / $84.66	Facility		$21.09	$25.48	$84.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.80 / $25.48 / $41.79	Professional		$21.80	$25.48	$41.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $31.51 / $56.25	Facility		$25.48	$31.51	$56.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $30.58 / $73.89	Facility		$23.10	$30.58	$73.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.78 / $28.03 / $35.67	Professional		$21.78	$28.03	$35.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49.69 / $78.65 / $105.27	Facility		$49.69	$78.65	$105.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $23.19 / $63.18	Professional		$16.37	$23.19	$63.18
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $14.56 / $30.58	Professional		$10.70	$14.56	$30.58