Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $54.95 / $141.25	Facility		$29.51	$54.95	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $36.31	Professional		$14.13	$18.20	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $58.88 / $69.18	Facility		$38.02	$58.88	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $23.44 / $42.66	Professional		$10.72	$23.44	$42.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $51.29 / $60.26	Professional		$23.44	$51.29	$60.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $48.98	Facility		$23.44	$23.44	$48.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.92 / $38.90	Professional		$22.39	$26.92	$38.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $44.67	Facility		$23.44	$23.44	$44.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $33.11 / $69.18	Facility		$20.89	$33.11	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.30 / $79.43	Professional		$21.38	$26.30	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $70.79 / $97.72	Facility		$35.48	$70.79	$97.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $28.18	Professional		$16.98	$20.89	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $38.02	Facility		$28.18	$28.18	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.00 / $28.18	Professional		$9.33	$10.00	$28.18