Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $181.97 / $457.09	Facility		$38.02	$181.97	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $109.65	Professional		$16.98	$22.91	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $69.18 / $75.86	Facility		$42.66	$69.18	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $26.30 / $46.77	Professional		$12.88	$26.30	$46.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $56.23 / $66.07	Professional		$26.30	$56.23	$66.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $30.90 / $354.81	Facility		$26.30	$30.90	$354.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.20 / $42.66	Professional		$26.30	$30.20	$42.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $50.12	Facility		$26.30	$26.30	$50.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $36.31 / $77.62	Facility		$23.44	$36.31	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.84 / $79.43	Professional		$23.44	$28.84	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $77.62 / $107.15	Facility		$38.90	$77.62	$107.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.99 / $31.62	Professional		$19.50	$23.99	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $41.69	Facility		$31.62	$31.62	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $31.62	Professional		$10.96	$10.96	$31.62