Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $57.54 / $131.83	Facility		$36.31	$57.54	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $44.67	Professional		$20.89	$26.92	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $77.62 / $107.15	Facility		$47.86	$77.62	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $29.51 / $52.48	Professional		$19.50	$29.51	$52.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $63.10 / $75.86	Professional		$29.51	$63.10	$75.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $91.20	Facility		$29.51	$29.51	$91.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $57.54	Professional		$29.51	$37.15	$57.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $56.23	Facility		$29.51	$29.51	$56.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $42.66 / $97.72	Facility		$28.84	$42.66	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $79.43	Professional		$29.51	$37.15	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $89.13 / $123.03	Facility		$44.67	$89.13	$123.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $29.51 / $38.02	Professional		$22.39	$29.51	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $46.77	Facility		$35.48	$35.48	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.98 / $41.69	Professional		$12.30	$16.98	$41.69