Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.83 / $68.53 / $85.80	Facility		$38.83	$68.53	$85.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.34 / $24.10 / $25.98	Professional		$23.34	$24.10	$25.98
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 $22.75 / $27.81 / $88.81	Facility		$22.75	$27.81	$88.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $26.78 / $36.42	Professional		$24.65	$26.78	$36.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.78 / $36.15 / $61.50	Facility		$26.78	$36.15	$61.50
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 / $38.29	Professional		$23.40	$29.46	$38.29
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 / $15.30 / $37.40	Professional		$11.25	$15.30	$37.40