Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $57.54 / $169.82	Facility		$28.18	$57.54	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $14.13 / $57.54	Professional		$7.94	$14.13	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $109.65	Facility		$61.66	$61.66	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $43.65 / $67.61	Professional		$6.76	$43.65	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $81.28 / $97.72	Professional		$38.02	$81.28	$97.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $38.02 / $38.02	Facility		$28.18	$38.02	$38.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $43.65 / $51.29	Professional		$28.84	$43.65	$51.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $39.81 / $56.23	Facility		$38.02	$39.81	$56.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $52.48 / $112.20	Facility		$11.75	$52.48	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $38.02 / $50.12	Professional		$12.59	$38.02	$50.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $60.26 / $138.04	Facility		$26.30	$60.26	$138.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.67 / $45.71	Professional		$25.70	$34.67	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $60.26	Facility		$45.71	$45.71	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $15.85	Professional		$5.01	$5.01	$15.85