Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $47.86 / $141.25	Facility		$38.90	$47.86	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.12 / $57.54	Professional		$18.20	$25.12	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $72.44 / $91.20	Facility		$51.29	$72.44	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $33.88 / $56.23	Professional		$13.49	$33.88	$56.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $66.07 / $83.18	Professional		$30.90	$66.07	$83.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $45.71	Facility		$30.90	$30.90	$45.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.11 / $43.65	Professional		$27.54	$33.11	$43.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $58.88	Facility		$30.90	$30.90	$58.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $43.65 / $91.20	Facility		$29.51	$43.65	$91.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $34.67 / $79.43	Professional		$27.54	$34.67	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $93.33 / $128.82	Facility		$46.77	$93.33	$128.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.30 / $37.15	Professional		$25.12	$26.30	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $50.12	Facility		$37.15	$37.15	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.18 / $37.15	Professional		$11.48	$13.18	$37.15