Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.93 / $55.69 / $209.00	Facility		$27.93	$55.69	$209.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $19.89 / $30.67	Professional		$19.19	$19.89	$30.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.29 / $58.81 / $80.20	Facility		$36.29	$58.81	$80.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.18 / $32.01 / $68.50	Professional		$17.18	$32.01	$68.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $95.35 / $100.95	Professional		$22.34	$95.35	$100.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.41 / $30.99 / $75.00	Facility		$21.41	$30.99	$75.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $30.44 / $61.95	Professional		$22.34	$30.44	$61.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.34 / $25.24 / $60.48	Facility		$22.34	$25.24	$60.48
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $22.34 / $26.81	Professional		$22.34	$22.34	$26.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.41 / $28.26 / $58.81	Facility		$21.41	$28.26	$58.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $27.93 / $36.58	Professional		$22.34	$27.93	$36.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.56 / $68.98 / $92.30	Facility		$43.56	$68.98	$92.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.83 / $33.86 / $97.64	Professional		$22.83	$33.86	$97.64
United Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $12.77 / $26.81	Professional		$9.38	$12.77	$26.81