Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $120.23 / $123.03	Facility		$25.70	$120.23	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $32.36	Professional		$16.98	$19.95	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $79.43	Facility		$43.65	$43.65	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $38.90	Professional		$21.88	$26.92	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $58.88 / $69.18	Professional		$26.92	$58.88	$69.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $29.51 / $38.90	Professional		$26.92	$29.51	$38.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $29.51 / $42.66	Facility		$24.55	$29.51	$42.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $38.02 / $79.43	Facility		$26.30	$38.02	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $29.51 / $79.43	Professional		$25.70	$29.51	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $81.28 / $107.15	Facility		$47.86	$81.28	$107.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $24.55 / $32.36	Professional		$20.42	$24.55	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $43.65	Facility		$32.36	$32.36	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $32.36	Professional		$11.48	$11.48	$32.36