Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $47.14 / $112.46	Facility		$28.00	$47.14	$112.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $18.11 / $24.30	Professional		$17.59	$18.11	$24.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.03 / $53.50 / $72.95	Facility		$33.03	$53.50	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $23.54 / $36.42	Professional		$14.56	$23.54	$36.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $49.69 / $53.62	Professional		$20.32	$49.69	$53.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.72 / $25.55 / $68.06	Facility		$17.72	$25.55	$68.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $24.38 / $40.88	Professional		$20.32	$24.38	$40.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $27.60 / $51.25	Facility		$20.32	$27.60	$51.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.72 / $25.55 / $58.93	Facility		$17.72	$25.55	$58.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $25.40 / $33.26	Professional		$20.32	$25.40	$33.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $39.61 / $62.73 / $83.95	Facility		$39.61	$62.73	$83.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $25.90 / $50.05	Professional		$18.25	$25.90	$50.05
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $11.61 / $24.38	Professional		$8.52	$11.61	$24.38