Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.93 / $99.21 / $516.55	Facility		$34.93	$99.21	$516.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $21.44 / $35.08	Professional		$15.71	$21.44	$35.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $63.42 / $70.00	Facility		$39.15	$63.42	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $25.42 / $43.47	Professional		$12.96	$25.42	$43.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $58.37 / $62.98	Professional		$24.09	$58.37	$62.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.52 / $24.09 / $53.92	Facility		$17.52	$24.09	$53.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $24.60 / $34.69	Professional		$24.09	$24.60	$34.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.09 / $27.22 / $53.18	Facility		$24.09	$27.22	$53.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $28.91 / $60.59	Facility		$17.54	$28.91	$60.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.35 / $26.50 / $33.72	Professional		$23.35	$26.50	$33.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46.98 / $73.31 / $99.53	Facility		$46.98	$73.31	$99.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $23.01 / $59.08	Professional		$18.45	$23.01	$59.08
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.11 / $28.91	Professional		$10.11	$10.11	$28.91