Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.84 / $52.97 / $102.28	Facility		$43.84	$52.97	$102.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $32.02 / $234.89	Professional		$12.88	$32.02	$234.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.35 / $96.12 / $106.12	Facility		$59.35	$96.12	$106.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $38.32 / $65.80	Professional		$19.18	$38.32	$65.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $89.13 / $96.18	Professional		$36.53	$89.13	$96.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $36.53 / $80.59	Facility		$18.28	$36.53	$80.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $36.53 / $49.32	Professional		$24.65	$36.53	$49.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.53 / $40.18 / $80.64	Facility		$36.53	$40.18	$80.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.97 / $43.84 / $91.40	Facility		$23.97	$43.84	$91.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $40.18 / $51.14	Professional		$23.40	$40.18	$51.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $111.16 / $143.41	Facility		$71.23	$111.16	$143.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $33.24 / $90.26	Professional		$18.52	$33.24	$90.26
United Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.34 / $43.84	Professional		$15.30	$15.34	$43.84