Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.17 / $85.01 / $111.32	Facility		$50.17	$85.01	$111.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $23.36 / $36.99	Professional		$17.41	$23.36	$36.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.13 / $63.38 / $85.96	Facility		$39.13	$63.38	$85.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $21.43 / $31.41	Professional		$12.66	$21.43	$31.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $58.37 / $62.98	Professional		$24.08	$58.37	$62.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $24.08 / $50.22	Facility		$17.82	$24.08	$50.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $26.49 / $34.68	Professional		$24.08	$26.49	$34.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.08 / $25.28 / $79,999.20	Facility		$24.08	$25.28	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $27.69 / $60.25	Facility		$17.54	$27.69	$60.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $26.49 / $35.64	Professional		$21.67	$26.49	$35.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46.96 / $74.33 / $99.48	Facility		$46.96	$74.33	$99.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.44 / $38.45 / $59.08	Professional		$21.44	$38.45	$59.08
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $13.87 / $28.90	Professional		$10.11	$13.87	$28.90