Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.05 / $43.05 / $75.12	Facility		$43.05	$43.05	$75.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $16.75 / $16.75	Professional		$12.43	$16.75	$16.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.08 / $43.24 / $50.20	Facility		$28.08	$43.24	$50.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $19.82 / $24.78	Professional		$17.27	$19.82	$24.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $41.80 / $45.11	Professional		$17.27	$41.80	$45.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $17.27 / $36.01	Facility		$8.98	$17.27	$36.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $17.27 / $23.31	Professional		$17.27	$17.27	$23.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $18.13 / $24.18	Facility		$17.27	$18.13	$24.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.98 / $18.43 / $43.24	Facility		$8.98	$18.43	$43.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $19.00 / $24.18	Professional		$16.41	$19.00	$24.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $55.92 / $67.80	Facility		$34.54	$55.92	$67.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $20.47 / $42.67	Professional		$15.35	$20.47	$42.67
United Facility/Professional Facility Modifier Low / Median / High Price $25.91 / $25.91 / $27.63	Facility		$25.91	$25.91	$27.63
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $20.72	Professional		$7.25	$7.25	$20.72