Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.36 / $120.98 / $270.77	Facility		$30.36	$120.98	$270.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $66.54 / $90.72	Professional		$24.69	$66.54	$90.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.35 / $66.98 / $91.34	Facility		$41.35	$66.98	$91.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $29.32 / $45.82	Professional		$18.29	$29.32	$45.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $62.33 / $67.23	Professional		$25.45	$62.33	$67.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.07 / $30.67 / $84.66	Facility		$23.07	$30.67	$84.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $29.27 / $45.24	Professional		$25.45	$29.27	$45.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $34.36 / $59.45	Facility		$25.45	$34.36	$59.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.07 / $30.79 / $73.81	Facility		$23.07	$30.79	$73.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $31.81 / $41.65	Professional		$25.45	$31.81	$41.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49.63 / $78.55 / $105.14	Facility		$49.63	$78.55	$105.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.88 / $32.44 / $62.36	Professional		$22.88	$32.44	$62.36
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $14.54 / $30.54	Professional		$10.69	$14.54	$30.54