Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.59 / $37.79 / $73.00	Facility		$32.59	$37.79	$73.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $25.29 / $50.84	Professional		$22.16	$25.29	$50.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.38 / $65.26 / $93.58	Facility		$42.38	$65.26	$93.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $33.77 / $51.40	Professional		$17.61	$33.77	$51.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $57.52 / $68.94	Professional		$26.07	$57.52	$68.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.46 / $44.52 / $87.15	Facility		$23.46	$44.52	$87.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $28.97 / $40.51	Professional		$26.07	$28.97	$40.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $28.68 / $57.55	Facility		$26.07	$28.68	$57.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $35.19 / $76.91	Facility		$29.98	$35.19	$76.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.68 / $32.61 / $41.72	Professional		$28.68	$32.61	$41.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $50.84 / $80.45 / $107.71	Facility		$50.84	$80.45	$107.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.08 / $51.13 / $82.07	Professional		$46.08	$51.13	$82.07
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $14.90 / $31.28	Professional		$10.95	$14.90	$31.28