Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.08 / $54.41 / $193.89	Facility		$27.08	$54.41	$193.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $19.12 / $29.19	Professional		$15.95	$19.12	$29.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $55.97 / $76.33	Facility		$34.54	$55.97	$76.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $24.37 / $38.18	Professional		$15.27	$24.37	$38.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $52.06 / $56.18	Professional		$21.26	$52.06	$56.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.27 / $29.49 / $101.10	Facility		$19.27	$29.49	$101.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $25.51 / $35.00	Professional		$21.26	$25.51	$35.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $27.90 / $46.93	Facility		$21.26	$27.90	$46.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.27 / $26.73 / $61.65	Facility		$19.27	$26.73	$61.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $25.51 / $34.79	Professional		$21.26	$25.51	$34.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.46 / $65.63 / $87.83	Facility		$41.46	$65.63	$87.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $27.10 / $52.51	Professional		$19.12	$27.10	$52.51
United Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $12.15 / $29.70	Professional		$8.93	$12.15	$29.70