Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.35 / $76.92 / $131.60	Facility		$37.35	$76.92	$131.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $19.55 / $29.84	Professional		$15.21	$19.55	$29.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $57.19 / $78.03	Facility		$35.29	$57.19	$78.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.63 / $24.78 / $38.77	Professional		$15.63	$24.78	$38.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $52.85 / $57.01	Professional		$21.73	$52.85	$57.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.71 / $30.14 / $71.44	Facility		$19.71	$30.14	$71.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $24.99 / $35.77	Professional		$21.73	$24.99	$35.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.73 / $29.34 / $47.97	Facility		$21.73	$29.34	$47.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.71 / $26.29 / $63.02	Facility		$19.71	$26.29	$63.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $26.08 / $35.58	Professional		$21.73	$26.08	$35.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42.37 / $67.08 / $89.78	Facility		$42.37	$67.08	$89.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $27.70 / $53.33	Professional		$19.41	$27.70	$53.33
United Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $12.42 / $26.08	Professional		$9.13	$12.42	$26.08