Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.25 / $53.22 / $294.22	Facility		$33.25	$53.22	$294.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $20.50 / $27.45	Professional		$18.35	$20.50	$27.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $60.39 / $82.40	Facility		$37.28	$60.39	$82.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $26.43 / $41.12	Professional		$16.52	$26.43	$41.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $55.99 / $60.42	Professional		$22.94	$55.99	$60.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $24.48 / $67.40	Facility		$20.81	$24.48	$67.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $27.53 / $46.17	Professional		$22.94	$27.53	$46.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $30.97 / $51.25	Facility		$22.94	$30.97	$51.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $27.76 / $66.53	Facility		$20.81	$27.76	$66.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $28.68 / $37.56	Professional		$22.94	$28.68	$37.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.73 / $70.80 / $94.77	Facility		$44.73	$70.80	$94.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $29.25 / $56.61	Professional		$20.57	$29.25	$56.61
United Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $13.11 / $32.40	Professional		$9.63	$13.11	$32.40