Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.58 / $76.92 / $221.95	Facility		$38.58	$76.92	$221.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $29.06 / $44.75	Professional		$22.48	$29.06	$44.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.15 / $81.23 / $89.67	Facility		$50.15	$81.23	$89.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $32.63 / $55.22	Professional		$16.52	$32.63	$55.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $74.94 / $80.84	Professional		$30.86	$74.94	$80.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $30.86 / $68.97	Facility		$19.03	$30.86	$68.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $31.25 / $38.75	Professional		$30.86	$31.25	$38.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.86 / $33.95 / $68.12	Facility		$30.86	$33.95	$68.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.47 / $37.03 / $81.23	Facility		$22.47	$37.03	$81.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $33.95 / $43.20	Professional		$29.66	$33.95	$43.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $60.18 / $93.91 / $127.50	Facility		$60.18	$93.91	$127.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $29.25 / $76.31	Professional		$23.44	$29.25	$76.31
United Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $12.96 / $37.03	Professional		$12.96	$12.96	$37.03