Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $44.67 / $131.83	Facility		$36.31	$44.67	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $52.48	Professional		$18.20	$23.99	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $74.13 / $85.11	Facility		$47.86	$74.13	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $31.62 / $53.70	Professional		$14.13	$31.62	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $63.10 / $75.86	Professional		$29.51	$63.10	$75.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $29.51 / $43.65	Facility		$28.18	$29.51	$43.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $29.51 / $40.74	Professional		$28.18	$29.51	$40.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $54.95	Facility		$29.51	$29.51	$54.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $41.69 / $85.11	Facility		$27.54	$41.69	$85.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.88 / $79.43	Professional		$26.30	$33.88	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $87.10 / $120.23	Facility		$43.65	$87.10	$120.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $25.12 / $34.67	Professional		$23.44	$25.12	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $46.77	Facility		$34.67	$34.67	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.30 / $34.67	Professional		$12.02	$12.30	$34.67