Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.49 / $41.00 / $102.96	Facility		$33.49	$41.00	$102.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $24.28 / $33.92	Professional		$22.72	$24.28	$33.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.53 / $70.51 / $96.17	Facility		$43.53	$70.51	$96.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $30.98 / $48.17	Professional		$19.18	$30.98	$48.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $65.47 / $70.63	Professional		$26.79	$65.47	$70.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.28 / $37.17 / $88.81	Facility		$24.28	$37.17	$88.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $32.15 / $53.87	Professional		$26.79	$32.15	$53.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.79 / $36.17 / $59.14	Facility		$26.79	$36.17	$59.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.28 / $33.67 / $77.69	Facility		$24.28	$33.67	$77.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $32.15 / $43.85	Professional		$26.79	$32.15	$43.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.24 / $82.70 / $110.68	Facility		$52.24	$82.70	$110.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $34.14 / $65.64	Professional		$24.05	$34.14	$65.64
United Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $13.28 / $32.15	Professional		$11.25	$13.28	$32.15