Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.44 / $46.44 / $81.04	Facility		$46.44	$46.44	$81.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $15.84 / $16.77	Professional		$13.41	$15.84	$16.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.28 / $46.62 / $54.13	Facility		$30.28	$46.62	$54.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $21.48 / $26.85	Professional		$18.63	$21.48	$26.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $45.75 / $49.35	Professional		$18.63	$45.75	$49.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $18.63 / $38.85	Facility		$9.68	$18.63	$38.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $18.63 / $25.15	Professional		$18.63	$18.63	$25.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.63 / $19.55 / $26.08	Facility		$18.63	$19.55	$26.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $21.42 / $46.48	Facility		$9.68	$21.42	$46.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $20.49 / $26.08	Professional		$17.70	$20.49	$26.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.33 / $56.69 / $73.14	Facility		$36.33	$56.69	$73.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $22.40 / $45.95	Professional		$16.80	$22.40	$45.95
United Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $7.82 / $22.36	Professional		$7.82	$7.82	$22.36