Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $79.43 / $128.82	Facility		$26.92	$79.43	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $32.36	Professional		$15.14	$19.05	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $54.95 / $74.13	Facility		$33.88	$54.95	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $20.89 / $38.02	Professional		$13.80	$20.89	$38.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $44.67 / $52.48	Professional		$20.89	$44.67	$52.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $102.33	Facility		$20.89	$20.89	$102.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $41.69	Professional		$20.89	$26.30	$41.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $45.71	Facility		$20.89	$20.89	$45.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $30.20 / $69.18	Facility		$20.42	$30.20	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $79.43	Professional		$20.89	$26.30	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $63.10 / $85.11	Facility		$30.90	$63.10	$85.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.89 / $26.30	Professional		$15.49	$20.89	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $33.11	Facility		$25.12	$25.12	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.02 / $28.84	Professional		$8.71	$12.02	$28.84