Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $94.08 / $427.86	Facility		$39.47	$94.08	$427.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $31.28 / $162.00	Professional		$23.82	$31.28	$162.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.23 / $71.64 / $96.17	Facility		$44.23	$71.64	$96.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $31.39 / $48.76	Professional		$19.18	$31.39	$48.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $66.26 / $71.48	Professional		$27.22	$66.26	$71.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $27.22 / $80.59	Facility		$19.82	$27.22	$80.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $31.30 / $37.93	Professional		$27.22	$31.30	$37.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.22 / $29.94 / $60.09	Facility		$27.22	$29.94	$60.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $32.65 / $78.94	Facility		$19.82	$32.65	$78.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $32.65 / $43.85	Professional		$27.22	$32.65	$43.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $82.83 / $112.46	Facility		$53.08	$82.83	$112.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $34.14 / $67.28	Professional		$24.33	$34.14	$67.28
United Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $12.49 / $32.65	Professional		$11.43	$12.49	$32.65