Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $75.59 / $223.06	Facility		$38.15	$75.59	$223.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $26.60 / $97.60	Professional		$25.20	$26.60	$97.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.70 / $77.27 / $105.39	Facility		$47.70	$77.27	$105.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $42.33 / $81.42	Professional		$22.57	$42.33	$81.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $112.74 / $119.68	Professional		$29.35	$112.74	$119.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.20 / $36.90 / $61.21	Facility		$28.20	$36.90	$61.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $39.92 / $48.35	Professional		$29.35	$39.92	$48.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $33.17 / $64.79	Facility		$29.35	$33.17	$64.79
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $29.35 / $33.75	Professional		$29.35	$29.35	$33.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.20 / $36.90 / $73.45	Facility		$28.20	$36.90	$73.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $36.69 / $48.05	Professional		$29.35	$36.69	$48.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $57.23 / $90.58 / $121.26	Facility		$57.23	$90.58	$121.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $40.22 / $114.87	Professional		$29.98	$40.22	$114.87
United Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $16.77 / $35.22	Professional		$12.33	$16.77	$35.22