Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $45.71 / $134.90	Facility		$37.15	$45.71	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $45.71	Professional		$19.95	$28.18	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $77.62 / $107.15	Facility		$47.86	$77.62	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $29.51 / $53.70	Professional		$19.50	$29.51	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $64.57 / $75.86	Professional		$29.51	$64.57	$75.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $40.74	Facility		$29.51	$29.51	$40.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $51.29	Professional		$29.51	$37.15	$51.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $56.23	Facility		$29.51	$29.51	$56.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $42.66 / $89.13	Facility		$26.92	$42.66	$89.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $79.43	Professional		$29.51	$37.15	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $89.13 / $123.03	Facility		$44.67	$89.13	$123.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $29.51 / $38.02	Professional		$22.39	$29.51	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $47.86	Facility		$35.48	$35.48	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.98 / $41.69	Professional		$12.59	$16.98	$41.69