Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $39.81 / $114.82	Facility		$31.62	$39.81	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $39.81	Professional		$16.98	$22.91	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $67.61 / $74.13	Facility		$41.69	$67.61	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $25.70 / $45.71	Professional		$12.88	$25.70	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $56.23 / $66.07	Professional		$25.70	$56.23	$66.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $35.48	Facility		$25.70	$25.70	$35.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $29.51 / $34.67	Professional		$25.70	$29.51	$34.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $134.90	Facility		$25.70	$25.70	$134.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $35.48 / $75.86	Facility		$22.91	$35.48	$75.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $79.43	Professional		$22.91	$28.18	$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 / $23.44 / $30.90	Professional		$19.05	$23.44	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $40.74	Facility		$30.90	$30.90	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $11.22 / $30.90	Professional		$10.72	$11.22	$30.90