Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $83.18 / $83.18	Facility		$18.20	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $21.88	Professional		$12.02	$14.13	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $53.70	Facility		$30.20	$30.20	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.38 / $26.92	Professional		$18.62	$21.38	$26.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $40.74 / $47.86	Professional		$18.62	$40.74	$47.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.38 / $25.12	Professional		$18.62	$21.38	$25.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $26.30	Facility		$18.62	$18.62	$26.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $25.70 / $53.70	Facility		$18.20	$25.70	$53.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $20.42 / $79.43	Professional		$18.62	$20.42	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $54.95 / $72.44	Facility		$28.18	$54.95	$72.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $22.39	Professional		$14.13	$16.98	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $29.51	Facility		$22.39	$22.39	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $22.39	Professional		$7.76	$7.76	$22.39