Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.25 / $68.54 / $163.40	Facility		$29.25	$68.54	$163.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $19.18 / $26.31	Professional		$17.14	$19.18	$26.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $57.87 / $78.98	Facility		$35.72	$57.87	$78.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.81 / $25.19 / $39.36	Professional		$15.81	$25.19	$39.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $53.64 / $57.87	Professional		$21.99	$53.64	$57.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.18 / $27.66 / $73.04	Facility		$19.18	$27.66	$73.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $25.29 / $44.25	Professional		$21.99	$25.29	$44.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $27.49 / $48.54	Facility		$21.99	$27.49	$48.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.18 / $27.66 / $63.77	Facility		$19.18	$27.66	$63.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $26.39 / $36.01	Professional		$21.99	$26.39	$36.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42.88 / $67.88 / $90.85	Facility		$42.88	$67.88	$90.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $28.04 / $54.15	Professional		$19.70	$28.04	$54.15
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $10.90 / $26.39	Professional		$9.24	$10.90	$26.39