Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.06 / $56.14 / $236.95	Facility		$25.06	$56.14	$236.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.04 / $19.45 / $39.10	Professional		$17.04	$19.45	$39.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.58 / $50.17 / $71.98	Facility		$32.58	$50.17	$71.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $26.18 / $39.19	Professional		$13.42	$26.18	$39.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $44.02 / $52.77	Professional		$20.05	$44.02	$52.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $37.22 / $67.23	Facility		$18.05	$37.22	$67.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $22.28 / $35.03	Professional		$20.05	$22.28	$35.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $22.06 / $44.26	Facility		$20.05	$22.06	$44.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.06 / $27.81 / $59.15	Facility		$23.06	$27.81	$59.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $25.08 / $32.08	Professional		$22.06	$25.08	$32.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $39.10 / $61.90 / $82.83	Facility		$39.10	$61.90	$82.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.31 / $39.47 / $62.88	Professional		$35.31	$39.47	$62.88
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $8.42 / $24.06	Professional		$8.42	$8.42	$24.06