Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.96 / $49.05 / $143.37	Facility		$27.96	$49.05	$143.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $11.69 / $420.00	Professional		$9.90	$11.69	$420.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.30 / $94.40 / $109.60	Facility		$61.30	$94.40	$109.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $43.37 / $67.56	Professional		$6.75	$43.37	$67.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $92.30 / $99.57	Professional		$37.72	$92.30	$99.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $25.13 / $37.72	Facility		$10.50	$25.13	$37.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $43.39 / $51.31	Professional		$37.72	$43.39	$51.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $41.50 / $56.60	Facility		$37.72	$41.50	$56.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $15.24 / $61.30	Facility		$10.50	$15.24	$61.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $14.46 / $45.28	Professional		$11.45	$14.46	$45.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.10 / $59.72 / $137.80	Facility		$24.10	$59.72	$137.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $41.74 / $92.72	Professional		$25.91	$41.74	$92.72
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $15.85	Professional		$5.05	$5.05	$15.85