Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.96 / $103.30 / $240.27	Facility		$34.96	$103.30	$240.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $16.37 / $32.15	Professional		$15.73	$16.37	$32.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.18 / $63.46 / $70.04	Facility		$39.18	$63.46	$70.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $25.42 / $43.47	Professional		$12.96	$25.42	$43.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $59.16 / $63.83	Professional		$24.11	$59.16	$63.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $24.11 / $50.29	Facility		$17.55	$24.11	$50.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $24.60 / $34.72	Professional		$24.11	$24.60	$34.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.11 / $27.24 / $53.22	Facility		$24.11	$27.24	$53.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $28.93 / $60.59	Facility		$17.55	$28.93	$60.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.35 / $26.52 / $33.75	Professional		$23.35	$26.52	$33.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.01 / $73.37 / $99.61	Facility		$47.01	$73.37	$99.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $23.01 / $59.08	Professional		$18.45	$23.01	$59.08
United Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $10.13 / $28.93	Professional		$10.13	$10.13	$28.93