Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $70.79 / $165.96	Facility		$28.84	$70.79	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.50 / $33.88	Professional		$14.45	$19.50	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $57.54 / $79.43	Facility		$35.48	$57.54	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $21.88 / $39.81	Professional		$14.45	$21.88	$39.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $47.86 / $56.23	Professional		$21.88	$47.86	$56.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $128.82	Facility		$21.88	$21.88	$128.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $44.67	Professional		$21.88	$27.54	$44.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $47.86	Facility		$21.88	$21.88	$47.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $31.62 / $72.44	Facility		$21.38	$31.62	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $79.43	Professional		$21.88	$27.54	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $66.07 / $91.20	Facility		$33.11	$66.07	$91.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $21.88 / $28.18	Professional		$16.60	$21.88	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $35.48	Facility		$26.30	$26.30	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.59 / $30.90	Professional		$9.33	$12.59	$30.90