Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $38.90 / $61.66	Facility		$30.90	$38.90	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.90 / $57.54	Professional		$30.20	$30.90	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $54.95 / $102.33	Facility		$28.84	$54.95	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $36.31	Professional		$30.90	$30.90	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $51.29 / $134.90	Professional		$37.15	$51.29	$134.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $37.15 / $97.72	Facility		$30.90	$37.15	$97.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $77.62	Professional		$30.90	$38.90	$77.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $29.51 / $72.44	Facility		$23.99	$29.51	$72.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $44.67 / $190.55	Facility		$30.90	$44.67	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $79.43	Professional		$38.90	$47.86	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $54.95 / $123.03	Facility		$31.62	$54.95	$123.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $33.88	Professional		$30.90	$30.90	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $74.13	Facility		$30.90	$30.90	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $35.48	Professional		$30.90	$30.90	$35.48