Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.27 / $66.77 / $137.61	Facility		$20.27	$66.77	$137.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $24.28 / $46.68	Professional		$22.77	$24.28	$46.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.53 / $70.51 / $96.12	Facility		$43.53	$70.51	$96.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $30.98 / $48.17	Professional		$19.18	$30.98	$48.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $65.47 / $70.63	Professional		$26.78	$65.47	$70.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $27.81 / $55.86	Facility		$22.21	$27.81	$55.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $26.78 / $36.15	Professional		$24.65	$26.78	$36.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.78 / $29.46 / $59.12	Facility		$26.78	$29.46	$59.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.28 / $32.14 / $77.66	Facility		$24.28	$32.14	$77.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $29.46 / $37.49	Professional		$23.40	$29.46	$37.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.22 / $82.65 / $110.64	Facility		$52.22	$82.65	$110.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $24.37 / $65.64	Professional		$18.48	$24.37	$65.64
United Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $11.25 / $32.14	Professional		$11.25	$11.25	$32.14