Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.46 / $100.88 / $413.60	Facility		$28.46	$100.88	$413.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $17.66 / $23.48	Professional		$12.76	$17.66	$23.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.90 / $51.68 / $70.50	Facility		$31.90	$51.68	$70.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $22.72 / $35.25	Professional		$14.03	$22.72	$35.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $48.13 / $51.91	Professional		$19.63	$48.13	$51.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.79 / $27.23 / $65.56	Facility		$17.79	$27.23	$65.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $22.57 / $28.27	Professional		$19.63	$22.57	$28.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $21.59 / $43.33	Facility		$19.63	$21.59	$43.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.79 / $23.75 / $56.93	Facility		$17.79	$23.75	$56.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $23.56 / $32.14	Professional		$19.63	$23.56	$32.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.28 / $60.60 / $81.09	Facility		$38.28	$60.60	$81.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $25.02 / $48.41	Professional		$17.67	$25.02	$48.41
United Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $11.22 / $23.56	Professional		$8.24	$11.22	$23.56