Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.90 / $42.17 / $81.42	Facility		$34.90	$42.17	$81.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $28.21 / $135.97	Professional		$28.21	$28.21	$135.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $76.55 / $89.97	Facility		$47.25	$76.55	$89.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $32.63 / $52.28	Professional		$17.94	$32.63	$52.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $70.98 / $76.59	Professional		$29.08	$70.98	$76.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.62 / $31.03 / $83.83	Facility		$22.62	$31.03	$83.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $29.08 / $47.69	Professional		$28.53	$29.08	$47.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.08 / $34.90 / $64.19	Facility		$29.08	$34.90	$64.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.72 / $34.90 / $84.33	Facility		$22.72	$34.90	$84.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.08 / $31.99 / $40.71	Professional		$27.08	$31.99	$40.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $56.71 / $88.49 / $120.14	Facility		$56.71	$88.49	$120.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $26.70 / $71.38	Professional		$21.40	$26.70	$71.38
United Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $14.32 / $34.90	Professional		$12.21	$14.32	$34.90