Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $46.77 / $134.90	Facility		$37.15	$46.77	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $53.70	Professional		$18.20	$23.99	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $72.44 / $87.10	Facility		$48.98	$72.44	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $32.36 / $53.70	Professional		$13.49	$32.36	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $64.57 / $79.43	Professional		$30.20	$64.57	$79.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $43.65	Facility		$30.20	$30.20	$43.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.11 / $41.69	Professional		$27.54	$33.11	$41.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $56.23	Facility		$30.20	$30.20	$56.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $41.69 / $87.10	Facility		$28.18	$41.69	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $79.43	Professional		$26.92	$33.88	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $89.13 / $123.03	Facility		$44.67	$89.13	$123.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.70 / $36.31	Professional		$23.99	$25.70	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $47.86	Facility		$36.31	$36.31	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.59 / $36.31	Professional		$11.48	$12.59	$36.31