Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.61 / $43.04 / $83.10	Facility		$35.61	$43.04	$83.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $28.79 / $161.01	Professional		$25.89	$28.79	$161.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.23 / $78.12 / $106.56	Facility		$48.23	$78.12	$106.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $34.28 / $53.46	Professional		$21.31	$34.28	$53.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.68 / $72.56 / $78.29	Professional		$29.68	$72.56	$78.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $31.67 / $74.14	Facility		$15.73	$31.67	$74.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.68 / $34.13 / $50.40	Professional		$29.68	$34.13	$50.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.68 / $40.29 / $65.52	Facility		$29.68	$40.29	$65.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $35.90 / $86.07	Facility		$15.73	$35.90	$86.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.68 / $35.61 / $48.59	Professional		$29.68	$35.61	$48.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $57.88 / $91.60 / $122.62	Facility		$57.88	$91.60	$122.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $37.84 / $73.02	Professional		$26.65	$37.84	$73.02
United Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $16.96 / $35.61	Professional		$12.47	$16.96	$35.61