Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.86 / $89.30 / $171.00	Facility		$35.86	$89.30	$171.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $18.43 / $41.72	Professional		$15.43	$18.43	$41.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.90 / $54.92 / $74.90	Facility		$33.90	$54.92	$74.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.92 / $23.95 / $37.60	Professional		$14.92	$23.95	$37.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $50.48 / $54.46	Professional		$20.86	$50.48	$54.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.19 / $26.24 / $67.40	Facility		$18.19	$26.24	$67.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $23.99 / $36.75	Professional		$20.86	$23.99	$36.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $28.16 / $46.05	Facility		$20.86	$28.16	$46.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.19 / $25.24 / $60.49	Facility		$18.19	$25.24	$60.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $25.03 / $34.15	Professional		$20.86	$25.03	$34.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.68 / $64.40 / $86.18	Facility		$40.68	$64.40	$86.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $26.60 / $51.69	Professional		$18.54	$26.60	$51.69
United Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $11.92 / $25.03	Professional		$8.76	$11.92	$25.03