Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $87.70 / $189.27	Facility		$35.00	$87.70	$189.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $22.19 / $29.75	Professional		$17.82	$22.19	$29.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $67.06 / $91.42	Facility		$41.40	$67.06	$91.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $29.32 / $45.82	Professional		$18.29	$29.32	$45.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $62.33 / $67.23	Professional		$25.47	$62.33	$67.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $35.34 / $101.10	Facility		$23.09	$35.34	$101.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $30.56 / $51.22	Professional		$25.47	$30.56	$51.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.47 / $31.84 / $66.63	Facility		$25.47	$31.84	$66.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $32.01 / $73.86	Facility		$23.09	$32.01	$73.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $30.56 / $41.69	Professional		$25.47	$30.56	$41.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49.67 / $78.63 / $105.23	Facility		$49.67	$78.63	$105.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.88 / $32.46 / $63.18	Professional		$22.88	$32.46	$63.18
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $14.55 / $30.56	Professional		$10.70	$14.55	$30.56