Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.04 / $54.52 / $139.07	Facility		$31.04	$54.52	$139.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $19.41 / $27.12	Professional		$19.03	$19.41	$27.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.79 / $56.38 / $76.89	Facility		$34.79	$56.38	$76.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $24.37 / $38.18	Professional		$15.45	$24.37	$38.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $52.06 / $56.18	Professional		$21.41	$52.06	$56.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.41 / $26.93 / $71.38	Facility		$19.41	$26.93	$71.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $25.69 / $43.08	Professional		$21.41	$25.69	$43.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.41 / $28.90 / $51.25	Facility		$21.41	$28.90	$51.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.41 / $26.93 / $62.09	Facility		$19.41	$26.93	$62.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $25.69 / $35.04	Professional		$21.41	$25.69	$35.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.75 / $66.08 / $88.45	Facility		$41.75	$66.08	$88.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $27.30 / $52.51	Professional		$19.12	$27.30	$52.51
United Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $12.23 / $25.69	Professional		$8.99	$12.23	$25.69