Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.53 / $64.40 / $116.92	Facility		$31.53	$64.40	$116.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $22.92 / $123.52	Professional		$17.53	$22.92	$123.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.03 / $51.88 / $70.50	Facility		$32.03	$51.88	$70.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $22.72 / $35.25	Professional		$14.03	$22.72	$35.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $48.13 / $51.91	Professional		$19.70	$48.13	$51.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.28 / $19.70 / $41.09	Facility		$16.28	$19.70	$41.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $22.66 / $28.37	Professional		$19.70	$22.66	$28.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.70 / $20.69 / $43.49	Facility		$19.70	$20.69	$43.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.79 / $23.64 / $57.13	Facility		$17.79	$23.64	$57.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $23.64 / $32.14	Professional		$19.70	$23.64	$32.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.42 / $60.60 / $81.39	Facility		$38.42	$60.60	$81.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $25.02 / $48.41	Professional		$17.67	$25.02	$48.41
United Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $9.73 / $23.64	Professional		$8.27	$9.73	$23.64