Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $66.07 / $151.36	Facility		$33.11	$66.07	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $40.74	Professional		$15.85	$19.95	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $64.57 / $77.62	Facility		$43.65	$64.57	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $26.92 / $47.86	Professional		$11.75	$26.92	$47.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $57.54 / $69.18	Professional		$26.92	$57.54	$69.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $61.66	Facility		$26.92	$26.92	$61.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $36.31	Professional		$23.99	$29.51	$36.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $50.12	Facility		$26.92	$26.92	$50.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $37.15 / $79.43	Facility		$22.39	$37.15	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $79.43	Professional		$23.99	$29.51	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $79.43 / $109.65	Facility		$39.81	$79.43	$109.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $32.36	Professional		$18.20	$22.91	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $42.66	Facility		$32.36	$32.36	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $11.22 / $32.36	Professional		$10.23	$11.22	$32.36