Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.91 / $33.54 / $100.62	Facility		$28.91	$33.54	$100.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.44 / $22.44 / $121.33	Professional		$22.44	$22.44	$121.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.58 / $60.87 / $80.31	Facility		$37.58	$60.87	$80.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $33.56 / $70.26	Professional		$17.20	$33.56	$70.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $97.72 / $103.50	Professional		$23.13	$97.72	$103.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.87 / $32.09 / $73.87	Facility		$21.87	$32.09	$73.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $30.47 / $47.25	Professional		$23.13	$30.47	$47.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.13 / $26.14 / $51.06	Facility		$23.13	$26.14	$51.06
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $23.13 / $25.44	Professional		$23.13	$23.13	$25.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.03 / $29.26 / $60.87	Facility		$25.03	$29.26	$60.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.13 / $28.91 / $36.61	Professional		$23.13	$28.91	$36.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $45.10 / $70.38 / $95.56	Facility		$45.10	$70.38	$95.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $34.72 / $99.28	Professional		$22.85	$34.72	$99.28
United Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $11.08 / $27.76	Professional		$9.71	$11.08	$27.76