Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $97.20 / $193.80	Facility		$37.79	$97.20	$193.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $23.64 / $39.10	Professional		$22.72	$23.64	$39.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.38 / $68.65 / $93.58	Facility		$42.38	$68.65	$93.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $30.15 / $47.00	Professional		$18.64	$30.15	$47.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $63.88 / $68.94	Professional		$26.07	$63.88	$68.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.91 / $27.82 / $67.40	Facility		$21.91	$27.82	$67.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $29.98 / $43.05	Professional		$26.07	$29.98	$43.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $31.28 / $57.55	Facility		$26.07	$31.28	$57.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.63 / $31.28 / $75.59	Facility		$23.63	$31.28	$75.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $31.02 / $39.28	Professional		$26.07	$31.02	$39.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $50.84 / $80.45 / $107.71	Facility		$50.84	$80.45	$107.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $30.58 / $64.00	Professional		$23.46	$30.58	$64.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $14.90 / $31.28	Professional		$10.95	$14.90	$31.28