Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.10 / $70.50 / $100.06	Facility		$36.10	$70.50	$100.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $22.47 / $23.46	Professional		$21.98	$22.47	$23.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.08 / $66.54 / $90.75	Facility		$41.08	$66.54	$90.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $28.91 / $45.23	Professional		$18.12	$28.91	$45.23
HealthNet Facility/Professional Professional Modifier Low / Median / High Price $155.35 / $155.35 / $155.35	Professional		$155.35	$155.35	$155.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $61.53 / $66.39	Professional		$25.27	$61.53	$66.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $31.78 / $84.66	Facility		$22.91	$31.78	$84.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $29.06 / $50.85	Professional		$25.27	$29.06	$50.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $34.11 / $56.38	Facility		$25.27	$34.11	$56.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $31.78 / $73.28	Facility		$22.91	$31.78	$73.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $31.59 / $41.38	Professional		$25.27	$31.59	$41.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49.28 / $78.00 / $104.40	Facility		$49.28	$78.00	$104.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.59 / $32.21 / $62.36	Professional		$22.59	$32.21	$62.36
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $12.53 / $30.32	Professional		$10.61	$12.53	$30.32