Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $34.67 / $102.33	Facility		$28.18	$34.67	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $37.15	Professional		$15.14	$20.89	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $60.26 / $72.44	Facility		$37.15	$60.26	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $24.55 / $44.67	Professional		$13.18	$24.55	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $48.98 / $58.88	Professional		$22.91	$48.98	$58.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $47.86	Facility		$22.91	$22.91	$47.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $27.54 / $34.67	Professional		$22.91	$27.54	$34.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $43.65	Facility		$22.91	$22.91	$43.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $33.11 / $67.61	Facility		$21.38	$33.11	$67.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $29.51 / $79.43	Professional		$20.42	$29.51	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $67.61 / $93.33	Facility		$33.88	$67.61	$93.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.50 / $27.54	Professional		$18.20	$19.50	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $36.31	Facility		$27.54	$27.54	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.48 / $27.54	Professional		$9.55	$11.48	$27.54