Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.47 / $69.12 / $195.64	Facility		$31.47	$69.12	$195.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $19.37 / $21.05	Professional		$18.88	$19.37	$21.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.28 / $57.15 / $77.89	Facility		$35.28	$57.15	$77.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.63 / $24.78 / $38.77	Professional		$15.63	$24.78	$38.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $52.85 / $57.01	Professional		$21.70	$52.85	$57.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.66 / $26.29 / $72.20	Facility		$19.66	$26.29	$72.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $26.04 / $43.63	Professional		$21.70	$26.04	$43.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $29.30 / $54.33	Facility		$21.70	$29.30	$54.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.66 / $26.29 / $62.93	Facility		$19.66	$26.29	$62.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $26.04 / $35.52	Professional		$21.70	$26.04	$35.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42.32 / $66.95 / $89.65	Facility		$42.32	$66.95	$89.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $27.65 / $53.33	Professional		$19.41	$27.65	$53.33
United Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $12.40 / $26.04	Professional		$9.11	$12.40	$26.04