Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.27 / $38.99 / $75.29	Facility		$32.27	$38.99	$75.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $26.08 / $93.27	Professional		$20.57	$26.08	$93.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.70 / $67.30 / $78.14	Facility		$43.70	$67.30	$78.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $28.46 / $48.17	Professional		$12.25	$28.46	$48.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.89 / $65.47 / $70.63	Professional		$26.89	$65.47	$70.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $26.89 / $57.27	Facility		$15.49	$26.89	$57.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $26.89 / $36.29	Professional		$20.52	$26.89	$36.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.89 / $29.70 / $59.36	Facility		$26.89	$29.70	$59.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $32.27 / $70.79	Facility		$19.57	$32.27	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $29.58 / $37.65	Professional		$19.48	$29.58	$37.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.44 / $81.83 / $105.57	Facility		$52.44	$81.83	$105.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $24.47 / $66.45	Professional		$15.41	$24.47	$66.45
United Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $11.29 / $32.27	Professional		$9.83	$11.29	$32.27