Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $41.69 / $120.23	Facility		$33.88	$41.69	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $52.48	Professional		$18.20	$21.88	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $67.61 / $77.62	Facility		$43.65	$67.61	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $28.84 / $48.98	Professional		$12.59	$28.84	$48.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $57.54 / $70.79	Professional		$26.92	$57.54	$70.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.92 / $57.54	Facility		$26.30	$26.92	$57.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $31.62 / $38.02	Professional		$25.70	$31.62	$38.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $51.29	Facility		$26.92	$26.92	$51.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $38.90 / $77.62	Facility		$25.12	$38.90	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $79.43	Professional		$23.99	$30.90	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $81.28 / $112.20	Facility		$40.74	$81.28	$112.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $22.91 / $32.36	Professional		$21.38	$22.91	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $42.66	Facility		$32.36	$32.36	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.22 / $51.29	Professional		$15.49	$16.22	$51.29