Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.06 / $59.98 / $1,288.32	Facility		$31.06	$59.98	$1,288.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $31.06 / $176.08	Professional		$19.04	$31.06	$176.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.79 / $53.59 / $76.89	Facility		$34.79	$53.59	$76.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $27.70 / $41.76	Professional		$14.47	$27.70	$41.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $46.87 / $56.18	Professional		$21.42	$46.87	$56.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.28 / $39.74 / $71.38	Facility		$19.28	$39.74	$71.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $23.80 / $36.17	Professional		$21.42	$23.80	$36.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $23.56 / $47.28	Facility		$21.42	$23.56	$47.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.63 / $29.72 / $63.19	Facility		$24.63	$29.72	$63.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.56 / $26.80 / $34.27	Professional		$23.56	$26.80	$34.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.77 / $66.09 / $88.49	Facility		$41.77	$66.09	$88.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $42.19 / $67.15	Professional		$37.71	$42.19	$67.15
United Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $17.48 / $49.50	Professional		$12.85	$17.48	$49.50