Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $56.56 / $168.66	Facility		$25.25	$56.56	$168.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $19.59 / $49.79	Professional		$10.75	$19.59	$49.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.83 / $53.18 / $72.53	Facility		$32.83	$53.18	$72.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $23.13 / $36.42	Professional		$14.56	$23.13	$36.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $48.90 / $52.77	Professional		$20.20	$48.90	$52.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.59 / $21.91 / $67.23	Facility		$19.59	$21.91	$67.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $23.23 / $33.13	Professional		$20.20	$23.23	$33.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.20 / $27.00 / $44.59	Facility		$20.20	$27.00	$44.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.20 / $24.44 / $58.58	Facility		$20.20	$24.44	$58.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $24.24 / $33.07	Professional		$20.20	$24.24	$33.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $39.39 / $62.35 / $83.45	Facility		$39.39	$62.35	$83.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $25.75 / $50.05	Professional		$17.96	$25.75	$50.05
United Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $11.55 / $24.24	Professional		$8.48	$11.55	$24.24