Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.46 / $61.00 / $90.90	Facility		$42.46	$61.00	$90.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.92 / $26.15 / $28.40	Professional		$23.92	$26.15	$28.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.58 / $73.27 / $85.06	Facility		$47.58	$73.27	$85.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $33.86 / $52.28	Professional		$15.98	$33.86	$52.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $71.77 / $77.45	Professional		$29.28	$71.77	$77.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.52 / $29.28 / $61.06	Facility		$15.52	$29.28	$61.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $29.28 / $39.53	Professional		$29.28	$29.28	$39.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $30.74 / $55.43	Facility		$29.28	$30.74	$55.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.54 / $35.14 / $77.06	Facility		$26.54	$35.14	$77.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $32.21 / $41.87	Professional		$29.27	$32.21	$41.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $57.10 / $89.10 / $120.97	Facility		$57.10	$89.10	$120.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $49.93 / $72.20	Professional		$26.36	$49.93	$72.20
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.66 / $35.14	Professional		$12.30	$13.66	$35.14