Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.64 / $84.24 / $96.82	Facility		$24.64	$84.24	$96.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $29.16 / $64.22	Professional		$23.25	$29.16	$64.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $37.28 / $37.28	Facility		$37.28	$37.28	$37.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $50.54 / $73.26	Professional		$29.24	$50.54	$73.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.20 / $52.15 / $62.69	Professional		$43.20	$52.15	$62.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.68 / $40.01 / $65.45	Facility		$24.68	$40.01	$65.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.22 / $45.49 / $70.73	Professional		$37.22	$45.49	$70.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $47.50 / $52.26	Facility		$34.00	$47.50	$52.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.79 / $41.58 / $65.45	Facility		$24.79	$41.58	$65.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $51.39 / $65.76	Professional		$40.47	$51.39	$65.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $73.20 / $97.04	Facility		$47.86	$73.20	$97.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $52.57 / $67.27	Professional		$41.15	$52.57	$67.27
United Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $52.26 / $75.54	Professional		$33.76	$52.26	$75.54