Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.99 / $44.54 / $72.09	Facility		$35.99	$44.54	$72.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $29.42 / $173.16	Professional		$15.18	$29.42	$173.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $100.00 / $120.00	Facility		$50.00	$100.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.77 / $56.15 / $100.81	Professional		$29.77	$56.15	$100.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.03 / $73.73 / $80.75	Professional		$60.03	$73.73	$80.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.14 / $39.50 / $73.87	Facility		$24.14	$39.50	$73.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $52.24 / $73.14	Professional		$36.26	$52.24	$73.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $57.62 / $63.65	Facility		$37.79	$57.62	$63.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.01 / $42.07 / $76.54	Facility		$25.01	$42.07	$76.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $58.73 / $86.90	Professional		$35.15	$58.73	$86.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $86.66 / $124.14	Facility		$57.67	$86.66	$124.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.71 / $38.64 / $87.37	Professional		$36.71	$38.64	$87.37
United Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $33.92 / $79.53	Professional		$30.53	$33.92	$79.53