Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.32 / $78.23 / $143.68	Facility		$36.32	$78.23	$143.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $25.15 / $27.10	Professional		$22.94	$25.15	$27.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.40 / $69.92 / $81.18	Facility		$45.40	$69.92	$81.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $30.35 / $49.93	Professional		$14.21	$30.35	$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 $14.52 / $27.94 / $58.27	Facility		$14.52	$27.94	$58.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $27.94 / $37.72	Professional		$27.94	$27.94	$37.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $30.73 / $41.91	Facility		$27.94	$30.73	$41.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $33.53 / $70.55	Facility		$25.33	$33.53	$70.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $30.73 / $39.11	Professional		$26.54	$30.73	$39.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.48 / $85.02 / $115.43	Facility		$54.48	$85.02	$115.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.91 / $33.21 / $68.92	Professional		$24.91	$33.21	$68.92
United Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $11.73 / $33.53	Professional		$11.73	$11.73	$33.53