Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.92 / $29.92 / $59.84	Facility		$29.92	$29.92	$59.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.76 / $36.40	Professional		$26.51	$26.76	$36.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $55.78 / $66.18	Facility		$20.83	$55.78	$66.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $26.51 / $31.25	Professional		$25.00	$26.51	$31.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.76 / $69.00 / $105.59	Professional		$51.76	$69.00	$105.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $29.92 / $94.62	Facility		$26.51	$29.92	$94.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $30.49 / $38.99	Professional		$26.51	$30.49	$38.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.02 / $29.92 / $55.14	Facility		$26.02	$29.92	$55.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $37.72 / $86.96	Facility		$26.51	$37.72	$86.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $48.31 / $59.38	Professional		$26.51	$48.31	$59.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49.84 / $84.70 / $183.84	Facility		$49.84	$84.70	$183.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $31.81	Professional		$26.51	$26.51	$31.81
United Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $31.81	Professional		$26.51	$26.51	$31.81