Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.96 / $49.25 / $115.81	Facility		$25.96	$49.25	$115.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $20.93 / $32.46	Professional		$19.14	$20.93	$32.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.43 / $62.25 / $83.13	Facility		$38.43	$62.25	$83.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $27.26 / $42.30	Professional		$16.52	$27.26	$42.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.64 / $57.58 / $62.14	Professional		$23.64	$57.58	$62.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $25.75 / $77.19	Facility		$20.90	$25.75	$77.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.64 / $27.19 / $41.20	Professional		$23.64	$27.19	$41.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.64 / $28.62 / $52.19	Facility		$23.64	$28.62	$52.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $28.60 / $68.56	Facility		$20.99	$28.60	$68.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.64 / $26.48 / $33.81	Professional		$23.64	$26.48	$33.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46.10 / $71.94 / $97.67	Facility		$46.10	$71.94	$97.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $26.11 / $58.26	Professional		$20.92	$26.11	$58.26
United Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $13.23 / $28.37	Professional		$9.93	$13.23	$28.37