Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $49.38 / $128.69	Facility		$29.97	$49.38	$128.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $18.01 / $20.05	Professional		$17.32	$18.01	$20.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.60 / $54.43 / $74.26	Facility		$33.60	$54.43	$74.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.92 / $23.95 / $37.01	Professional		$14.92	$23.95	$37.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $50.48 / $54.46	Professional		$20.67	$50.48	$54.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $26.00 / $68.89	Facility		$18.02	$26.00	$68.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $23.77 / $39.90	Professional		$20.67	$23.77	$39.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $27.90 / $45.63	Facility		$20.67	$27.90	$45.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $26.00 / $59.94	Facility		$18.02	$26.00	$59.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $24.80 / $33.85	Professional		$20.67	$24.80	$33.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.31 / $63.80 / $85.40	Facility		$40.31	$63.80	$85.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $26.36 / $50.87	Professional		$18.54	$26.36	$50.87
United Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $11.81 / $24.80	Professional		$8.68	$11.81	$24.80