Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $72.44 / $141.25	Facility		$31.62	$72.44	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.50 / $41.69	Professional		$15.14	$19.50	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $57.54 / $77.62	Facility		$35.48	$57.54	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $21.88 / $38.90	Professional		$14.45	$21.88	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $46.77 / $56.23	Professional		$21.88	$46.77	$56.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $93.33	Facility		$21.88	$21.88	$93.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.30 / $38.02	Professional		$19.50	$26.30	$38.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $40.74	Facility		$21.88	$21.88	$40.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $31.62 / $70.79	Facility		$20.89	$31.62	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $79.43	Professional		$21.88	$26.92	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $64.57 / $89.13	Facility		$32.36	$64.57	$89.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.88 / $27.54	Professional		$16.22	$21.88	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $34.67	Facility		$26.30	$26.30	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.30 / $30.20	Professional		$9.12	$12.30	$30.20