Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $79.43 / $151.36	Facility		$37.15	$79.43	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $24.55 / $39.81	Professional		$19.95	$24.55	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $70.79 / $97.72	Facility		$43.65	$70.79	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.92 / $48.98	Professional		$18.20	$26.92	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $58.88 / $69.18	Professional		$26.92	$58.88	$69.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $117.49	Facility		$26.92	$26.92	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $54.95	Professional		$26.92	$33.88	$54.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $58.88	Facility		$26.92	$26.92	$58.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $38.90 / $91.20	Facility		$26.30	$38.90	$91.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $79.43	Professional		$26.92	$33.88	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $81.28 / $112.20	Facility		$40.74	$81.28	$112.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.92 / $34.67	Professional		$20.42	$26.92	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $43.65	Facility		$32.36	$32.36	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.49 / $38.02	Professional		$11.48	$15.49	$38.02