Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.93 / $51.82 / $100.07	Facility		$24.93	$51.82	$100.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $34.67 / $92.37	Professional		$12.88	$34.67	$92.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.08 / $94.08 / $103.84	Facility		$58.08	$94.08	$103.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $37.56 / $64.03	Professional		$19.18	$37.56	$64.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $86.76 / $93.63	Professional		$35.74	$86.76	$93.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.75 / $35.74 / $74.54	Facility		$22.75	$35.74	$74.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $35.74 / $44.68	Professional		$24.65	$35.74	$44.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.74 / $40.38 / $78.90	Facility		$35.74	$40.38	$78.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.03 / $42.89 / $89.44	Facility		$26.03	$42.89	$89.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $39.31 / $50.04	Professional		$24.63	$39.31	$50.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $69.69 / $108.76 / $140.31	Facility		$69.69	$108.76	$140.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $32.52 / $87.79	Professional		$18.52	$32.52	$87.79
United Facility/Professional Facility Modifier Low / Median / High Price $53.61 / $53.61 / $57.18	Facility		$53.61	$53.61	$57.18
United Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $15.01 / $42.89	Professional		$15.01	$15.01	$42.89