Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $87.10 / $138.04	Facility		$35.48	$87.10	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $42.66	Professional		$18.20	$25.12	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $74.13 / $100.00	Facility		$45.71	$74.13	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $28.18 / $50.12	Professional		$18.62	$28.18	$50.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $60.26 / $72.44	Professional		$28.18	$60.26	$72.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $107.15	Facility		$28.18	$28.18	$107.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $52.48	Professional		$28.18	$33.88	$52.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $53.70	Facility		$28.18	$28.18	$53.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $40.74 / $93.33	Facility		$27.54	$40.74	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $35.48 / $79.43	Professional		$28.18	$35.48	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $85.11 / $114.82	Facility		$41.69	$85.11	$114.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $35.48	Professional		$20.89	$28.18	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $44.67	Facility		$33.88	$33.88	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.22 / $38.90	Professional		$11.75	$16.22	$38.90