Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.03 / $45.27 / $87.42	Facility		$39.03	$45.27	$87.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $26.54 / $60.88	Professional		$22.48	$26.54	$60.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.73 / $71.98 / $90.70	Facility		$50.73	$71.98	$90.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $33.01 / $55.81	Professional		$13.42	$33.01	$55.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $68.90 / $82.56	Professional		$31.22	$68.90	$82.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $42.15 / $67.23	Facility		$28.10	$42.15	$67.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $31.22 / $42.15	Professional		$28.40	$31.22	$42.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.22 / $34.34 / $68.92	Facility		$31.22	$34.34	$68.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.78 / $39.65 / $78.12	Facility		$32.78	$39.65	$78.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $34.61 / $44.96	Professional		$30.10	$34.61	$44.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $60.88 / $95.00 / $128.97	Facility		$60.88	$95.00	$128.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.06 / $61.25 / $98.05	Professional		$55.06	$61.25	$98.05
United Facility/Professional Facility Modifier Low / Median / High Price $46.83 / $46.83 / $49.95	Facility		$46.83	$46.83	$49.95
United Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $13.11 / $37.46	Professional		$11.46	$13.11	$37.46