Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $71.92 / $478.80	Facility		$39.92	$71.92	$478.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.57 / $35.09 / $56.87	Professional		$26.57	$35.09	$56.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.09 / $36.09 / $36.09	Facility		$36.09	$36.09	$36.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $28.57	Professional		$28.57	$28.57	$28.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $66.34 / $79.84	Professional		$52.75	$66.34	$79.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.15 / $54.76 / $75.90	Facility		$31.15	$54.76	$75.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.69 / $53.31 / $86.99	Professional		$42.69	$53.31	$86.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.72 / $56.95 / $63.65	Facility		$39.72	$56.95	$63.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.44 / $56.87 / $81.52	Facility		$31.44	$56.87	$81.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.58 / $63.92 / $81.52	Professional		$42.58	$63.92	$81.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $56.45 / $97.95 / $130.33	Facility		$56.45	$97.95	$130.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.55 / $65.54 / $86.33	Professional		$44.55	$65.54	$86.33
United Facility/Professional Professional Modifier Low / Median / High Price $42.83 / $63.48 / $95.08	Professional		$42.83	$63.48	$95.08