Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $55.26 / $252.56	Facility		$32.15	$55.26	$252.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $21.50 / $46.56	Professional		$16.03	$21.50	$46.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.03 / $58.36 / $64.83	Facility		$36.03	$58.36	$64.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $23.53 / $39.95	Professional		$12.96	$23.53	$39.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $54.44 / $58.73	Professional		$22.17	$54.44	$58.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $27.75 / $56.62	Facility		$17.66	$27.75	$56.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $24.60 / $36.33	Professional		$22.17	$24.60	$36.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $25.18 / $48.94	Facility		$22.17	$25.18	$48.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.14 / $27.75 / $58.36	Facility		$16.14	$27.75	$58.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $24.39 / $31.04	Professional		$22.17	$24.39	$31.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.23 / $67.45 / $91.59	Facility		$43.23	$67.45	$91.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $23.01 / $54.97	Professional		$18.45	$23.01	$54.97
United Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $10.32 / $26.60	Professional		$9.31	$10.32	$26.60