Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $38.85 / $61.56	Facility		$31.08	$38.85	$61.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $31.08 / $38.85	Professional		$30.78	$31.08	$38.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.03 / $51.61 / $63.08	Facility		$29.03	$51.61	$63.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $36.29	Professional		$30.78	$30.78	$36.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.06 / $68.16 / $87.08	Professional		$52.06	$68.16	$87.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $32.32 / $68.52	Facility		$30.78	$32.32	$68.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $32.61 / $40.01	Professional		$30.78	$32.61	$40.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.77 / $30.78 / $63.88	Facility		$29.77	$30.78	$63.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $37.33 / $66.18	Facility		$30.78	$37.33	$66.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $37.99 / $41.54	Professional		$30.78	$37.99	$41.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $50.52 / $110.92	Facility		$33.40	$50.52	$110.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $36.94	Professional		$30.78	$30.78	$36.94
United Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $35.40	Professional		$30.78	$30.78	$35.40