Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.37 / $53.48 / $70.19	Facility		$23.37	$53.48	$70.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $40.57 / $289.80	Professional		$17.42	$40.57	$289.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $29.54 / $29.54	Facility		$29.54	$29.54	$29.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $45.00 / $89.01	Professional		$31.00	$45.00	$89.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $47.99 / $87.93	Professional		$27.00	$47.99	$87.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $38.13 / $68.20	Facility		$17.76	$38.13	$68.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.28 / $46.67 / $83.99	Professional		$28.28	$46.67	$83.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.00 / $70.06 / $81.59	Facility		$33.00	$70.06	$81.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $39.72 / $68.20	Facility		$17.76	$39.72	$68.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $44.99 / $90.25	Professional		$22.90	$44.99	$90.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $47.18 / $85.89	Professional		$25.77	$47.18	$85.89
United Facility/Professional Professional Modifier Low / Median / High Price $43.47 / $71.98 / $112.24	Professional		$43.47	$71.98	$112.24