Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $54.95 / $194.98	Facility		$26.30	$54.95	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.05 / $40.74	Professional		$14.79	$19.05	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $56.23 / $75.86	Facility		$34.67	$56.23	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.38 / $38.02	Professional		$14.13	$21.38	$38.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $45.71 / $54.95	Professional		$21.38	$45.71	$54.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $123.03	Facility		$21.38	$21.38	$123.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.70 / $36.31	Professional		$21.38	$25.70	$36.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $39.81	Facility		$21.38	$21.38	$39.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $30.90 / $70.79	Facility		$20.42	$30.90	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.30 / $79.43	Professional		$21.38	$26.30	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $63.10 / $87.10	Facility		$31.62	$63.10	$87.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.38 / $26.92	Professional		$15.85	$21.38	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $33.88	Facility		$25.70	$25.70	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $29.51	Professional		$8.91	$12.02	$29.51