Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $123.03	Facility		$97.72	$97.72	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $22.91 / $50.12	Professional		$13.80	$22.91	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $30.20 / $48.98	Professional		$8.13	$30.20	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $47.86 / $79.43	Professional		$27.54	$47.86	$79.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $27.54 / $37.15	Facility		$20.89	$27.54	$37.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $27.54 / $38.90	Professional		$14.45	$27.54	$38.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $43.65	Facility		$27.54	$27.54	$43.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $31.62 / $47.86	Facility		$18.62	$31.62	$47.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $30.20 / $48.98	Professional		$14.45	$30.20	$48.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $97.72	Facility		$54.95	$54.95	$97.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $23.44 / $33.11	Professional		$21.38	$23.44	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.92 / $85.11	Professional		$16.60	$26.92	$85.11