Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $77.62 / $223.87	Facility		$38.90	$77.62	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $47.86	Professional		$19.95	$26.92	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $81.28 / $89.13	Facility		$50.12	$81.28	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $30.90 / $54.95	Professional		$15.14	$30.90	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $66.07 / $79.43	Professional		$30.90	$66.07	$79.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $42.66	Facility		$30.90	$30.90	$42.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $32.36 / $41.69	Professional		$30.90	$32.36	$41.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $58.88	Facility		$30.90	$30.90	$58.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $44.67 / $91.20	Facility		$30.20	$44.67	$91.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.88 / $79.43	Professional		$27.54	$33.88	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $93.33 / $128.82	Facility		$46.77	$93.33	$128.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $37.15	Professional		$22.91	$28.18	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $48.98	Facility		$37.15	$37.15	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $13.18 / $37.15	Professional		$12.88	$13.18	$37.15