Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.14 / $51.84 / $96.28	Facility		$48.14	$51.84	$96.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $20.25 / $24.23	Professional		$19.28	$20.25	$24.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.93 / $32.93 / $32.93	Facility		$32.93	$32.93	$32.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $26.18 / $36.42	Professional		$15.58	$26.18	$36.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $36.14 / $58.36	Professional		$20.26	$36.14	$58.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $27.35 / $1,755.22	Facility		$14.99	$27.35	$1,755.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $24.31 / $40.77	Professional		$20.26	$24.31	$40.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $20.26 / $76.88	Facility		$20.26	$20.26	$76.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.04 / $25.63 / $44.57	Facility		$19.04	$25.63	$44.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $25.63 / $32.40	Professional		$22.29	$25.63	$32.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.52 / $40.52 / $70.91	Facility		$40.52	$40.52	$70.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $40.15 / $65.15	Professional		$35.90	$40.15	$65.15
United Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $21.27 / $66.36	Professional		$12.16	$21.27	$66.36