Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.72 / $42.97 / $96.54	Facility		$38.72	$42.97	$96.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $34.81 / $85.13	Professional		$16.09	$34.81	$85.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.51 / $28.51 / $28.51	Facility		$28.51	$28.51	$28.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $48.76 / $101.01	Professional		$26.86	$48.76	$101.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $45.57 / $99.55	Professional		$33.27	$45.57	$99.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.06 / $42.33 / $78.12	Facility		$22.06	$42.33	$78.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $55.10 / $91.61	Professional		$28.42	$55.10	$91.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.17 / $64.34 / $78.39	Facility		$34.17	$64.34	$78.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.06 / $44.10 / $86.89	Facility		$22.06	$44.10	$86.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $49.48 / $97.99	Professional		$32.00	$49.48	$97.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $242.25 / $342.75 / $450.45	Facility		$242.25	$342.75	$450.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $55.60 / $98.98	Professional		$33.52	$55.60	$98.98
United Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $68.68 / $115.92	Professional		$52.52	$68.68	$115.92