Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $67.61 / $162.18	Facility		$26.92	$67.61	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $40.74	Professional		$20.89	$25.12	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $72.44 / $100.00	Facility		$44.67	$72.44	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $27.54 / $50.12	Professional		$18.20	$27.54	$50.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $60.26 / $70.79	Professional		$27.54	$60.26	$70.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $64.57	Facility		$27.54	$27.54	$64.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $34.67 / $53.70	Professional		$27.54	$34.67	$53.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $52.48	Facility		$27.54	$27.54	$52.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $39.81 / $93.33	Facility		$26.92	$39.81	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $34.67 / $79.43	Professional		$27.54	$34.67	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $83.18 / $114.82	Facility		$41.69	$83.18	$114.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $27.54 / $35.48	Professional		$20.89	$27.54	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $44.67	Facility		$33.11	$33.11	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.85 / $38.90	Professional		$11.75	$15.85	$38.90