Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.92 / $84.68 / $231.44	Facility		$34.92	$84.68	$231.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $20.99 / $33.06	Professional		$16.86	$20.99	$33.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.13 / $63.38 / $86.48	Facility		$39.13	$63.38	$86.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $27.67 / $43.47	Professional		$17.23	$27.67	$43.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $58.37 / $62.98	Professional		$24.08	$58.37	$62.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.04 / $50.22 / $101.70	Facility		$20.04	$50.22	$101.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $27.69 / $33.11	Professional		$24.08	$27.69	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.08 / $26.49 / $53.16	Facility		$24.08	$26.49	$53.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.04 / $28.90 / $69.83	Facility		$20.04	$28.90	$69.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $28.90 / $39.43	Professional		$24.08	$28.90	$39.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46.96 / $74.33 / $99.48	Facility		$46.96	$74.33	$99.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.44 / $30.71 / $59.08	Professional		$21.44	$30.71	$59.08
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $13.76 / $28.90	Professional		$10.11	$13.76	$28.90