Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.79 / $117.58 / $198.15	Facility		$49.79	$117.58	$198.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $12.95 / $45.60	Professional		$12.94	$12.95	$45.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.52 / $26.52 / $26.52	Facility		$26.52	$26.52	$26.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Professional		$13.26	$13.26	$13.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.14 / $144.36 / $155.74	Professional		$125.14	$144.36	$155.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $18.52 / $90.14	Facility		$12.95	$18.52	$90.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $49.85 / $83.08	Facility		$14.82	$49.85	$83.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $18.53 / $29.64	Facility		$12.95	$18.53	$29.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $18.53 / $25.94	Professional		$13.26	$18.53	$25.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $14.82 / $14.82	Professional		$14.82	$14.82	$14.82
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $14.95	Professional		$13.00	$13.00	$14.95