Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $24.44 / $48.07	Facility		$24.44	$24.44	$48.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $31.78 / $51.47	Professional		$18.38	$31.78	$51.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $26.71 / $26.71	Facility		$26.71	$26.71	$26.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $34.52 / $34.52	Professional		$34.52	$34.52	$34.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.78 / $55.51 / $96.87	Professional		$37.78	$55.51	$96.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.41 / $50.63 / $89.10	Facility		$26.41	$50.63	$89.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $61.91 / $90.34	Professional		$33.39	$61.91	$90.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.54 / $72.36 / $78.39	Facility		$41.54	$72.36	$78.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $51.47 / $97.82	Facility		$26.51	$51.47	$97.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.32 / $57.23 / $97.99	Professional		$37.32	$57.23	$97.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $326.76 / $441.42 / $488.97	Facility		$326.76	$441.42	$488.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $59.78 / $102.60	Professional		$33.63	$59.78	$102.60
United Facility/Professional Professional Modifier Low / Median / High Price $52.37 / $74.12 / $117.55	Professional		$52.37	$74.12	$117.55