Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $74.13 / $131.83	Facility		$28.18	$74.13	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $40.74	Professional		$19.05	$23.99	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $85.11	Facility		$47.86	$47.86	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $64.57 / $77.62	Professional		$29.51	$64.57	$77.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $40.74	Facility		$29.51	$29.51	$40.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $41.69	Professional		$26.92	$32.36	$41.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $32.36 / $48.98	Facility		$26.92	$32.36	$48.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $40.74 / $79.43	Facility		$22.91	$40.74	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.02 / $79.43	Professional		$29.51	$38.02	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $89.13 / $117.49	Facility		$51.29	$89.13	$117.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.12 / $35.48	Professional		$23.99	$25.12	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $47.86	Facility		$35.48	$35.48	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.80 / $35.48	Professional		$12.30	$13.80	$35.48