Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.31 / $74.40 / $112.70	Facility		$37.31	$74.40	$112.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $28.95 / $94.68	Professional		$27.07	$28.95	$94.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.50 / $78.56 / $107.18	Facility		$48.50	$78.56	$107.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.49 / $34.28 / $53.46	Professional		$21.49	$34.28	$53.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $72.56 / $78.29	Professional		$29.85	$72.56	$78.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.07 / $33.74 / $99.60	Facility		$27.07	$33.74	$99.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $34.33 / $52.14	Professional		$29.85	$34.33	$52.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.85 / $35.82 / $65.89	Facility		$29.85	$35.82	$65.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.07 / $36.11 / $86.57	Facility		$27.07	$36.11	$86.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $37.31 / $48.86	Professional		$29.85	$37.31	$48.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.21 / $92.13 / $123.32	Facility		$58.21	$92.13	$123.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $38.04 / $73.84	Professional		$26.65	$38.04	$73.84
United Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $17.05 / $35.82	Professional		$12.54	$17.05	$35.82