Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.27 / $70.47 / $122.98	Facility		$28.27	$70.47	$122.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.42 / $29.67 / $42.40	Professional		$27.42	$29.67	$42.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.95 / $74.44 / $90.82	Facility		$45.95	$74.44	$90.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $18.37 / $36.56	Professional		$14.86	$18.37	$36.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $68.63 / $74.04	Professional		$28.27	$68.63	$74.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.98 / $28.27 / $58.95	Facility		$14.98	$28.27	$58.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $31.10 / $38.45	Professional		$28.27	$31.10	$38.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.27 / $29.68 / $79,999.20	Facility		$28.27	$29.68	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.98 / $30.25 / $70.76	Facility		$14.98	$30.25	$70.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $31.10 / $41.88	Professional		$25.44	$31.10	$41.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $55.13 / $87.25 / $116.79	Facility		$55.13	$87.25	$116.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $45.37 / $69.73	Professional		$25.20	$45.37	$69.73
United Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $14.66 / $33.92	Professional		$11.87	$14.66	$33.92