Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.56 / $88.09 / $135.54	Facility		$30.56	$88.09	$135.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $19.39 / $32.01	Professional		$16.44	$19.39	$32.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.13 / $58.52 / $79.81	Facility		$36.13	$58.52	$79.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $25.61 / $39.95	Professional		$15.98	$25.61	$39.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $54.44 / $58.73	Professional		$22.23	$54.44	$58.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $30.45 / $73.87	Facility		$19.39	$30.45	$73.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $26.68 / $36.71	Professional		$22.23	$26.68	$36.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.23 / $26.68 / $49.07	Facility		$22.23	$26.68	$49.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $27.96 / $64.47	Facility		$19.39	$27.96	$64.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $27.79 / $36.40	Professional		$22.23	$27.79	$36.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.35 / $68.63 / $91.84	Facility		$43.35	$68.63	$91.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $28.34 / $54.97	Professional		$19.98	$28.34	$54.97
United Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $12.71 / $26.68	Professional		$9.34	$12.71	$26.68