Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.60 / $41.80 / $80.72	Facility		$34.60	$41.80	$80.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $27.97 / $41.80	Professional		$19.48	$27.97	$41.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.85 / $75.90 / $103.54	Facility		$46.85	$75.90	$103.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $33.04 / $51.70	Professional		$20.60	$33.04	$51.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $70.20 / $75.73	Professional		$28.83	$70.20	$75.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.15 / $32.86 / $96.28	Facility		$26.15	$32.86	$96.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $33.15 / $50.36	Professional		$28.83	$33.15	$50.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.83 / $35.65 / $63.64	Facility		$28.83	$35.65	$63.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.15 / $34.88 / $83.61	Facility		$26.15	$34.88	$83.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $34.60 / $47.21	Professional		$28.83	$34.60	$47.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $56.22 / $89.00 / $119.11	Facility		$56.22	$89.00	$119.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $36.76 / $71.38	Professional		$25.78	$36.76	$71.38
United Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $16.48 / $40.72	Professional		$12.11	$16.48	$40.72