Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.53 / $42.37 / $81.81	Facility		$36.53	$42.37	$81.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.04 / $24.84 / $56.98	Professional		$21.04	$24.84	$56.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.48 / $73.11 / $84.89	Facility		$47.48	$73.11	$84.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $31.16 / $54.15	Professional		$14.03	$31.16	$54.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $63.91 / $76.59	Professional		$29.22	$63.91	$76.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.92 / $39.45 / $68.89	Facility		$21.92	$39.45	$68.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $29.42 / $40.90	Professional		$28.55	$29.42	$40.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.22 / $30.68 / $64.50	Facility		$29.22	$30.68	$64.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.68 / $38.54 / $74.55	Facility		$30.68	$38.54	$74.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $32.14 / $42.08	Professional		$29.22	$32.14	$42.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $56.98 / $88.92 / $120.72	Facility		$56.98	$88.92	$120.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.47 / $57.26 / $91.66	Professional		$51.47	$57.26	$91.66
United Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $12.27 / $30.68	Professional		$11.87	$12.27	$30.68