Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $83.18 / $190.55	Facility		$37.15	$83.18	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.39 / $38.90	Professional		$17.78	$22.39	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $67.61 / $91.20	Facility		$41.69	$67.61	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.70 / $45.71	Professional		$16.98	$25.70	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $54.95 / $64.57	Professional		$25.70	$54.95	$64.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $147.91	Facility		$25.70	$25.70	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $51.29	Professional		$22.91	$30.90	$51.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $58.88	Facility		$25.70	$25.70	$58.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $36.31 / $85.11	Facility		$24.55	$36.31	$85.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $31.62 / $79.43	Professional		$25.70	$31.62	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $75.86 / $104.71	Facility		$38.02	$75.86	$104.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $32.36	Professional		$19.05	$25.70	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $40.74	Facility		$30.90	$30.90	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.45 / $35.48	Professional		$10.72	$14.45	$35.48