Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.66 / $37.04 / $71.54	Facility		$30.66	$37.04	$71.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $24.78 / $135.66	Professional		$22.23	$24.78	$135.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.53 / $67.27 / $89.77	Facility		$41.53	$67.27	$89.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $29.32 / $45.82	Professional		$17.94	$29.32	$45.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $62.33 / $67.23	Professional		$25.55	$62.33	$67.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.67 / $31.45 / $83.83	Facility		$22.67	$31.45	$83.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $29.38 / $50.31	Professional		$25.55	$29.38	$50.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $31.94 / $61.50	Facility		$25.55	$31.94	$61.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.67 / $31.45 / $74.09	Facility		$22.67	$31.45	$74.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $31.94 / $40.93	Professional		$25.55	$31.94	$40.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49.82 / $77.75 / $105.56	Facility		$49.82	$77.75	$105.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.88 / $31.88 / $63.18	Professional		$22.88	$31.88	$63.18
United Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $14.29 / $30.66	Professional		$10.73	$14.29	$30.66