Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.28 / $56.64 / $122.75	Facility		$36.28	$56.64	$122.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $26.77 / $37.40	Professional		$26.25	$26.77	$37.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.98 / $77.72 / $106.05	Facility		$47.98	$77.72	$106.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.13 / $33.86 / $52.87	Professional		$21.13	$33.86	$52.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $71.77 / $77.45	Professional		$29.53	$71.77	$77.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.77 / $37.13 / $98.77	Facility		$26.77	$37.13	$98.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $35.44 / $57.75	Professional		$29.53	$35.44	$57.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.53 / $39.86 / $65.19	Facility		$29.53	$39.86	$65.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.77 / $37.13 / $85.64	Facility		$26.77	$37.13	$85.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $35.44 / $48.35	Professional		$29.53	$35.44	$48.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $57.58 / $91.15 / $122.00	Facility		$57.58	$91.15	$122.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $37.65 / $73.02	Professional		$26.36	$37.65	$73.02
United Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $12.40 / $35.44	Professional		$12.40	$12.40	$35.44