Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $125.89 / $173.78	Facility		$26.92	$125.89	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.05 / $28.84	Professional		$14.13	$19.05	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $1.95 / $46.77	Facility		$1.20	$1.95	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $26.92 / $36.31	Professional		$13.18	$26.92	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $51.29	Professional		$33.88	$39.81	$51.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $26.92 / $47.86	Facility		$15.85	$26.92	$47.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.88 / $31.62	Professional		$15.14	$21.88	$31.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $37.15 / $50.12	Facility		$30.90	$37.15	$50.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $25.70 / $43.65	Facility		$14.45	$25.70	$43.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $31.62 / $79.43	Professional		$17.78	$31.62	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $537.03 / $645.65	Facility		$407.38	$537.03	$645.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $51.29 / $67.61	Professional		$35.48	$51.29	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $630.96 / $831.76	Facility		$512.86	$630.96	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $11.22 / $29.51	Professional		$7.41	$11.22	$29.51