Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.96 / $76.50 / $223.59	Facility		$40.96	$76.50	$223.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $27.85 / $49.15	Professional		$20.00	$27.85	$49.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.25 / $85.96 / $95.21	Facility		$53.25	$85.96	$95.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $34.53 / $58.75	Professional		$16.34	$34.53	$58.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $79.66 / $85.95	Professional		$32.77	$79.66	$85.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $32.77 / $80.51	Facility		$16.39	$32.77	$80.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $32.77 / $44.24	Professional		$32.77	$32.77	$44.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.77 / $34.40 / $72.34	Facility		$32.77	$34.40	$72.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.87 / $39.32 / $85.96	Facility		$23.87	$39.32	$85.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $36.04 / $45.88	Professional		$31.13	$36.04	$45.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $99.72 / $135.38	Facility		$63.90	$99.72	$135.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.58 / $32.77 / $80.41	Professional		$24.58	$32.77	$80.41
United Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $13.76 / $39.32	Professional		$13.76	$13.76	$39.32