Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $75.86 / $204.17	Facility		$28.84	$75.86	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.49 / $48.98	Professional		$14.45	$15.49	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $56.23 / $61.66	Facility		$34.67	$56.23	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $21.38 / $38.02	Professional		$10.72	$21.38	$38.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $45.71 / $54.95	Professional		$21.38	$45.71	$54.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $151.36	Facility		$21.38	$21.38	$151.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $23.44 / $30.20	Professional		$21.38	$23.44	$30.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $39.81	Facility		$21.38	$21.38	$39.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $29.51 / $63.10	Facility		$19.05	$29.51	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $79.43	Professional		$19.05	$23.99	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $63.10 / $87.10	Facility		$31.62	$63.10	$87.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $25.70	Professional		$15.85	$19.50	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $33.88	Facility		$25.70	$25.70	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $9.33 / $25.70	Professional		$8.91	$9.33	$25.70