Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.85 / $75.31 / $171.90	Facility		$30.85	$75.31	$171.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $18.51 / $24.56	Professional		$15.92	$18.51	$24.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.50 / $55.89 / $76.20	Facility		$34.50	$55.89	$76.20
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 $21.23 / $52.06 / $56.18	Professional		$21.23	$52.06	$56.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.51 / $29.44 / $92.00	Facility		$18.51	$29.44	$92.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $25.48 / $42.72	Professional		$21.23	$25.48	$42.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $28.66 / $51.25	Facility		$21.23	$28.66	$51.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.51 / $26.70 / $61.57	Facility		$18.51	$26.70	$61.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $26.54 / $34.75	Professional		$21.23	$26.54	$34.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $65.53 / $87.71	Facility		$41.40	$65.53	$87.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $27.06 / $52.51	Professional		$19.12	$27.06	$52.51
United Facility/Professional Facility Modifier Low / Median / High Price $31.85 / $31.85 / $33.97	Facility		$31.85	$31.85	$33.97
United Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $12.13 / $29.99	Professional		$8.92	$12.13	$29.99