Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.40 / $68.28 / $192.16	Facility		$37.40	$68.28	$192.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $24.06 / $34.24	Professional		$19.17	$24.06	$34.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.50 / $72.09 / $79.56	Facility		$44.50	$72.09	$79.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $28.84 / $49.35	Professional		$14.39	$28.84	$49.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.39 / $67.05 / $72.34	Professional		$27.39	$67.05	$72.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.66 / $27.39 / $64.70	Facility		$19.66	$27.39	$64.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.39 / $31.50 / $52.50	Professional		$27.39	$31.50	$52.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.39 / $30.95 / $60.46	Facility		$27.39	$30.95	$60.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $32.86 / $68.53	Facility		$19.95	$32.86	$68.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $30.13 / $38.35	Professional		$26.00	$30.13	$38.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $53.41 / $83.35 / $113.16	Facility		$53.41	$83.35	$113.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $25.63 / $67.28	Professional		$20.54	$25.63	$67.28
United Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $11.50 / $32.86	Professional		$11.50	$11.50	$32.86