Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.59 / $67.59 / $117.93	Facility		$67.59	$67.59	$117.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $26.30 / $26.30	Professional		$19.52	$26.30	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.05 / $67.84 / $78.76	Facility		$44.05	$67.84	$78.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $27.10 / $39.24	Professional		$21.69	$27.10	$39.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $66.26 / $71.48	Professional		$27.11	$66.26	$71.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $27.11 / $56.55	Facility		$14.37	$27.11	$56.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $27.11 / $36.86	Professional		$27.11	$27.11	$36.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $30.63 / $47.44	Facility		$27.11	$30.63	$47.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $31.18 / $59.10	Facility		$17.82	$31.18	$59.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $29.82 / $37.95	Professional		$25.75	$29.82	$37.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.86 / $82.50 / $106.43	Facility		$52.86	$82.50	$106.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $32.44 / $66.45	Professional		$24.33	$32.44	$66.45
United Facility/Professional Facility Modifier Low / Median / High Price $12.20 / $12.20 / $32.53	Facility		$12.20	$12.20	$32.53
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $11.39 / $32.53	Professional		$11.39	$11.39	$32.53