Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $59.23 / $160.33	Facility		$32.65	$59.23	$160.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $22.25 / $32.34	Professional		$21.38	$22.25	$32.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.48 / $67.19 / $91.66	Facility		$41.48	$67.19	$91.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $29.32 / $45.82	Professional		$18.29	$29.32	$45.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $62.33 / $67.23	Professional		$25.53	$62.33	$67.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.91 / $27.24 / $67.40	Facility		$21.91	$27.24	$67.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $29.36 / $51.36	Professional		$25.53	$29.36	$51.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.53 / $30.64 / $56.36	Facility		$25.53	$30.64	$56.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.24 / $30.89 / $74.04	Facility		$22.24	$30.89	$74.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $31.91 / $41.80	Professional		$25.53	$31.91	$41.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49.78 / $78.80 / $105.47	Facility		$49.78	$78.80	$105.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.88 / $32.54 / $63.18	Professional		$22.88	$32.54	$63.18
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.59 / $30.64	Professional		$10.72	$14.59	$30.64