Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $57.54 / $295.12	Facility		$30.90	$57.54	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $34.67	Professional		$16.98	$20.89	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $60.26 / $83.18	Facility		$37.15	$60.26	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.91 / $40.74	Professional		$15.14	$22.91	$40.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $50.12 / $58.88	Professional		$22.91	$50.12	$58.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $85.11	Facility		$22.91	$22.91	$85.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $45.71	Professional		$22.91	$28.84	$45.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $50.12	Facility		$22.91	$22.91	$50.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $33.11 / $69.18	Facility		$21.88	$33.11	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $79.43	Professional		$22.91	$28.84	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $69.18 / $95.50	Facility		$34.67	$69.18	$95.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $22.91 / $29.51	Professional		$17.38	$22.91	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $36.31	Facility		$27.54	$27.54	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.18 / $32.36	Professional		$9.55	$13.18	$32.36