Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $114.82 / $295.12	Facility		$31.62	$114.82	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $45.71 / $69.18	Professional		$19.05	$45.71	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $67.61 / $91.20	Facility		$41.69	$67.61	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.70 / $45.71	Professional		$16.98	$25.70	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $54.95 / $64.57	Professional		$25.70	$54.95	$64.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $213.80	Facility		$25.70	$25.70	$213.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $31.62 / $51.29	Professional		$25.70	$31.62	$51.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $54.95	Facility		$25.70	$25.70	$54.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $36.31 / $85.11	Facility		$24.55	$36.31	$85.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $31.62 / $79.43	Professional		$25.70	$31.62	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $75.86 / $104.71	Facility		$38.02	$75.86	$104.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $32.36	Professional		$19.05	$25.70	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $40.74	Facility		$30.20	$30.20	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.45 / $35.48	Professional		$10.72	$14.45	$35.48