Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $79.43 / $147.91	Facility		$41.69	$79.43	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.18 / $61.66	Professional		$21.88	$28.18	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $89.13 / $97.72	Facility		$54.95	$89.13	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $36.31 / $64.57	Professional		$16.98	$36.31	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $72.44 / $87.10	Professional		$33.11	$72.44	$87.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $69.18	Facility		$33.11	$33.11	$69.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $35.48 / $46.77	Professional		$33.11	$35.48	$46.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $64.57	Facility		$33.11	$33.11	$64.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $47.86 / $97.72	Facility		$31.62	$47.86	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $79.43	Professional		$30.20	$39.81	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $100.00 / $138.04	Facility		$50.12	$100.00	$138.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $28.18 / $39.81	Professional		$26.92	$28.18	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $53.70	Facility		$39.81	$39.81	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.42 / $64.57	Professional		$19.95	$20.42	$64.57