Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.49 / $38.04 / $73.47	Facility		$31.49	$38.04	$73.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $25.45 / $127.94	Professional		$25.45	$25.45	$127.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.65 / $69.09 / $84.70	Facility		$42.65	$69.09	$84.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $30.15 / $47.00	Professional		$16.87	$30.15	$47.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.24 / $63.88 / $68.94	Professional		$26.24	$63.88	$68.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.07 / $29.66 / $78.84	Facility		$23.07	$29.66	$78.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.24 / $31.49 / $47.45	Professional		$26.24	$31.49	$47.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.24 / $32.90 / $57.92	Facility		$26.24	$32.90	$57.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.24 / $31.75 / $76.09	Facility		$26.24	$31.75	$76.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.24 / $30.49 / $38.61	Professional		$26.24	$30.49	$38.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $51.17 / $79.84 / $108.41	Facility		$51.17	$79.84	$108.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $30.06 / $64.81	Professional		$23.46	$30.06	$64.81
United Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $11.69 / $31.49	Professional		$11.02	$11.69	$31.49