Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $67.61 / $144.54	Facility		$28.84	$67.61	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $41.69	Professional		$15.85	$19.95	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $57.54 / $79.43	Facility		$35.48	$57.54	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $25.12 / $43.65	Professional		$14.45	$25.12	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $47.86 / $56.23	Professional		$21.88	$47.86	$56.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $61.66	Facility		$21.88	$21.88	$61.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $44.67	Professional		$21.88	$27.54	$44.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $48.98	Facility		$21.88	$21.88	$48.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $31.62 / $72.44	Facility		$21.38	$31.62	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $79.43	Professional		$21.88	$27.54	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $66.07 / $91.20	Facility		$33.11	$66.07	$91.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $21.88 / $28.18	Professional		$16.60	$21.88	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $35.48	Facility		$26.30	$26.30	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.59 / $30.90	Professional		$9.12	$12.59	$30.90