Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $74.13 / $194.98	Facility		$33.88	$74.13	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.44 / $50.12	Professional		$19.05	$23.44	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $69.18 / $93.33	Facility		$42.66	$69.18	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $26.30 / $46.77	Professional		$17.38	$26.30	$46.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $56.23 / $66.07	Professional		$26.30	$56.23	$66.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $114.82	Facility		$26.30	$26.30	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $32.36 / $42.66	Professional		$26.30	$32.36	$42.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $48.98	Facility		$26.30	$26.30	$48.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $37.15 / $77.62	Facility		$23.44	$37.15	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $79.43	Professional		$26.30	$31.62	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $77.62 / $107.15	Facility		$38.90	$77.62	$107.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $24.55 / $31.62	Professional		$19.50	$24.55	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $41.69	Facility		$31.62	$31.62	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.79 / $31.62	Professional		$10.96	$14.79	$31.62