Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.10 / $117.79 / $466.92	Facility		$37.10	$117.79	$466.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $30.47 / $124.01	Professional		$27.64	$30.47	$124.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.46 / $43.53 / $58.88	Facility		$28.46	$43.53	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $32.72	Professional		$30.17	$30.17	$32.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $60.37 / $80.84	Professional		$27.11	$60.37	$80.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $43.14 / $64.87	Facility		$5.05	$43.14	$64.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $31.98 / $37.71	Professional		$30.17	$31.98	$37.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.36 / $34.20 / $82.08	Facility		$27.36	$34.20	$82.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.46 / $45.31 / $72.50	Facility		$28.46	$45.31	$72.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $33.36 / $40.72	Professional		$17.37	$33.36	$40.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.32 / $72.84 / $143.31	Facility		$43.32	$72.84	$143.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $30.17	Professional		$30.17	$30.17	$30.17
United Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $30.17	Professional		$30.17	$30.17	$30.17