Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.90 / $38.54 / $74.42	Facility		$31.90	$38.54	$74.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $25.78 / $144.22	Professional		$25.78	$25.78	$144.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.20 / $69.98 / $95.43	Facility		$43.20	$69.98	$95.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $30.56 / $47.58	Professional		$19.00	$30.56	$47.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $64.67 / $69.80	Professional		$26.58	$64.67	$69.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.10 / $33.42 / $88.81	Facility		$24.10	$33.42	$88.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $31.90 / $47.25	Professional		$26.58	$31.90	$47.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.58 / $35.88 / $58.68	Facility		$26.58	$35.88	$58.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.10 / $33.42 / $77.08	Facility		$24.10	$33.42	$77.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $31.90 / $43.51	Professional		$26.58	$31.90	$43.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $51.83 / $82.03 / $109.81	Facility		$51.83	$82.03	$109.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $33.88 / $65.64	Professional		$23.75	$33.88	$65.64
United Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $13.17 / $31.90	Professional		$11.16	$13.17	$31.90