Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.46 / $104.14 / $391.10	Facility		$28.46	$104.14	$391.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $54.13 / $86.81	Professional		$17.45	$54.13	$86.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.89 / $28.89 / $28.89	Facility		$28.89	$28.89	$28.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $68.86 / $189.04	Professional		$28.79	$68.86	$189.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $108.84 / $193.67	Professional		$33.40	$108.84	$193.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.14 / $54.33 / $155.55	Facility		$23.14	$54.33	$155.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $84.04 / $186.40	Professional		$29.14	$84.04	$186.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.32 / $122.10 / $148.74	Facility		$31.32	$122.10	$148.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.14 / $73.70 / $153.37	Facility		$23.14	$73.70	$153.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $87.08 / $176.85	Professional		$34.65	$87.08	$176.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $160.24 / $209.93 / $234.87	Facility		$160.24	$209.93	$234.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.66 / $57.69 / $182.15	Professional		$31.66	$57.69	$182.15
United Facility/Professional Professional Modifier Low / Median / High Price $91.68 / $130.16 / $192.01	Professional		$91.68	$130.16	$192.01