Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $89.34 / $190.80	Facility		$37.04	$89.34	$190.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $22.18 / $36.57	Professional		$18.07	$22.18	$36.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.95 / $67.95 / $92.68	Facility		$41.95	$67.95	$92.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $29.74 / $46.41	Professional		$18.47	$29.74	$46.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $63.09 / $68.08	Professional		$25.81	$63.09	$68.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $39.69 / $86.32	Facility		$22.51	$39.69	$86.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $29.68 / $51.96	Professional		$25.81	$29.68	$51.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $30.97 / $61.50	Facility		$25.81	$30.97	$61.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $31.23 / $74.84	Facility		$22.51	$31.23	$74.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $32.26 / $42.26	Professional		$25.81	$32.26	$42.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $50.33 / $79.68 / $106.63	Facility		$50.33	$79.68	$106.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $32.90 / $64.00	Professional		$23.18	$32.90	$64.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $14.75 / $30.97	Professional		$10.84	$14.75	$30.97