Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.03 / $35.34 / $124.29	Facility		$25.03	$35.34	$124.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $21.17 / $48.57	Professional		$20.35	$21.17	$48.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $51.20 / $78.70	Facility		$19.20	$51.20	$78.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $25.60	Professional		$20.35	$20.35	$25.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.74 / $65.20 / $132.46	Professional		$42.74	$65.20	$132.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $28.27 / $152.88	Facility		$20.35	$28.27	$152.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $21.57 / $37.22	Professional		$20.35	$21.57	$37.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $28.27 / $133.93	Facility		$20.35	$28.27	$133.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $41.92 / $152.88	Facility		$20.35	$41.92	$152.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.08 / $57.94 / $119.51	Professional		$22.08	$57.94	$119.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $70.73 / $127.62 / $288.60	Facility		$70.73	$127.62	$288.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $22.39	Professional		$20.35	$20.35	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $23.61	Professional		$20.35	$20.35	$23.61