Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.94 / $41.67 / $122.46	Facility		$40.94	$41.67	$122.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $28.54 / $101.04	Professional		$17.82	$28.54	$101.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.80 / $29.80 / $29.80	Facility		$29.80	$29.80	$29.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $44.34 / $109.58	Professional		$28.97	$44.34	$109.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.88 / $41.97 / $47.78	Professional		$34.88	$41.97	$47.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $34.01 / $126.50	Facility		$17.98	$34.01	$126.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $41.48 / $111.94	Professional		$29.35	$41.48	$111.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.76 / $37.52 / $129.31	Facility		$30.76	$37.52	$129.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $34.36 / $126.50	Facility		$18.38	$34.36	$126.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.68 / $42.90 / $57.82	Professional		$26.68	$42.90	$57.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $307.31 / $396.76 / $478.20	Facility		$307.31	$396.76	$478.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $39.52 / $58.62	Professional		$29.70	$39.52	$58.62
United Facility/Professional Facility Modifier Low / Median / High Price $391.83 / $391.83 / $484.13	Facility		$391.83	$391.83	$484.13
United Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $46.90 / $122.08	Professional		$30.25	$46.90	$122.08