Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $39.81 / $117.49	Facility		$32.36	$39.81	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $46.77	Professional		$19.05	$23.99	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $69.18 / $93.33	Facility		$42.66	$69.18	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $28.18 / $51.29	Professional		$17.38	$28.18	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $56.23 / $69.18	Professional		$26.30	$56.23	$69.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $54.95	Facility		$26.30	$26.30	$54.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $39.81	Professional		$26.30	$31.62	$39.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $54.95	Facility		$26.30	$26.30	$54.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $38.90 / $87.10	Facility		$25.12	$38.90	$87.10
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 $38.90 / $77.62 / $107.15	Facility		$38.90	$77.62	$107.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $22.39 / $31.62	Professional		$20.89	$22.39	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $41.69	Facility		$31.62	$31.62	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.79 / $31.62	Professional		$10.96	$14.79	$31.62