Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.31 / $66.43 / $142.50	Facility		$33.31	$66.43	$142.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.44 / $25.85 / $38.64	Professional		$21.44	$25.85	$38.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.30 / $70.15 / $88.31	Facility		$43.30	$70.15	$88.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $30.56 / $47.58	Professional		$17.57	$30.56	$47.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $64.67 / $69.80	Professional		$26.65	$64.67	$69.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.30 / $30.92 / $82.17	Facility		$22.30	$30.92	$82.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $30.65 / $49.48	Professional		$26.65	$30.65	$49.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.65 / $31.98 / $58.83	Facility		$26.65	$31.98	$58.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.30 / $32.25 / $77.29	Facility		$22.30	$32.25	$77.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $31.80 / $40.26	Professional		$26.65	$31.80	$40.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $51.97 / $81.09 / $110.10	Facility		$51.97	$81.09	$110.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $31.35 / $65.64	Professional		$23.75	$31.35	$65.64
United Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $14.06 / $31.98	Professional		$11.19	$14.06	$31.98