Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $43.65 / $128.82	Facility		$35.48	$43.65	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $43.65	Professional		$19.05	$26.92	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $75.86 / $95.50	Facility		$46.77	$75.86	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $28.18 / $51.29	Professional		$17.38	$28.18	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $61.66 / $72.44	Professional		$28.18	$61.66	$72.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $39.81	Facility		$28.18	$28.18	$39.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $35.48 / $52.48	Professional		$28.18	$35.48	$52.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $56.23	Facility		$28.18	$28.18	$56.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $40.74 / $87.10	Facility		$27.54	$40.74	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.88 / $79.43	Professional		$26.30	$33.88	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $85.11 / $117.49	Facility		$42.66	$85.11	$117.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $33.88	Professional		$21.38	$26.92	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $45.71	Facility		$33.88	$33.88	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $37.15	Professional		$12.02	$15.14	$37.15