Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $57.54 / $758.58	Facility		$36.31	$57.54	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $40.74 / $79.43	Professional		$19.95	$40.74	$79.43
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $70.79 / $95.50 / $95.50	Professional	25	$70.79	$95.50	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $39.81 / $67.61	Professional		$20.89	$39.81	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $50.12 / $69.18	Professional		$35.48	$50.12	$69.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $46.77 / $83.18	Facility		$24.55	$46.77	$83.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $47.86 / $69.18	Professional		$26.92	$47.86	$69.18
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $70.79 / $70.79 / $95.50	Professional	25	$70.79	$70.79	$95.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $50.12 / $56.23	Facility		$36.31	$50.12	$56.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $43.65 / $67.61	Facility		$23.99	$43.65	$67.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $45.71 / $79.43	Professional		$24.55	$45.71	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.90 / $58.88	Professional		$25.70	$38.90	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $69.18	Professional		$30.20	$45.71	$69.18