Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $114.00 / $185.25	Facility		$40.36	$114.00	$185.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $25.07 / $55.88	Professional		$20.66	$25.07	$55.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.40 / $73.55 / $100.33	Facility		$45.40	$73.55	$100.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $31.80 / $49.93	Professional		$20.07	$31.80	$49.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $67.84 / $73.18	Professional		$27.94	$67.84	$73.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $38.75 / $104.50	Facility		$25.33	$38.75	$104.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $33.53 / $56.22	Professional		$27.94	$33.53	$56.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $37.72 / $61.68	Facility		$27.94	$37.72	$61.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $33.81 / $81.03	Facility		$25.33	$33.81	$81.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $33.53 / $45.74	Professional		$27.94	$33.53	$45.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.48 / $86.23 / $115.43	Facility		$54.48	$86.23	$115.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.91 / $35.61 / $68.92	Professional		$24.91	$35.61	$68.92
United Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $15.97 / $33.53	Professional		$11.73	$15.97	$33.53