Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.89 / $84.69 / $125.81	Facility		$36.89	$84.69	$125.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.67 / $24.45 / $31.73	Professional		$23.67	$24.45	$31.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.15 / $71.52 / $97.57	Facility		$44.15	$71.52	$97.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.54 / $31.39 / $48.76	Professional		$19.54	$31.39	$48.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $66.26 / $71.48	Professional		$27.17	$66.26	$71.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.64 / $34.15 / $91.66	Facility		$24.64	$34.15	$91.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $31.25 / $54.65	Professional		$27.17	$31.25	$54.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.17 / $32.60 / $59.98	Facility		$27.17	$32.60	$59.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.64 / $32.88 / $78.79	Facility		$24.64	$32.88	$78.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $32.60 / $44.48	Professional		$27.17	$32.60	$44.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.98 / $83.85 / $112.25	Facility		$52.98	$83.85	$112.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $34.63 / $67.28	Professional		$24.33	$34.63	$67.28
United Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $11.41 / $32.60	Professional		$11.41	$11.41	$32.60