Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $104.71 / $199.53	Facility		$34.67	$104.71	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $16.22 / $34.67	Professional		$15.85	$16.22	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $63.10 / $70.79	Facility		$38.90	$63.10	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $23.99 / $43.65	Professional		$12.02	$23.99	$43.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $52.48 / $61.66	Professional		$23.99	$52.48	$61.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $107.15	Facility		$23.99	$23.99	$107.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $27.54 / $36.31	Professional		$23.99	$27.54	$36.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $45.71	Facility		$23.99	$23.99	$45.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $33.88 / $70.79	Facility		$21.88	$33.88	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $79.43	Professional		$21.88	$26.92	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $72.44 / $100.00	Facility		$36.31	$72.44	$100.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $28.84	Professional		$18.20	$21.88	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $38.90	Facility		$28.84	$28.84	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $28.84	Professional		$10.23	$10.23	$28.84