Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.52 / $46.52 / $81.17	Facility		$46.52	$46.52	$81.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $18.10 / $18.10	Professional		$13.44	$18.10	$18.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.33 / $46.70 / $54.22	Facility		$30.33	$46.70	$54.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $21.48 / $26.85	Professional		$18.66	$21.48	$26.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $45.75 / $49.35	Professional		$18.66	$45.75	$49.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $18.66 / $38.92	Facility		$9.69	$18.66	$38.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $18.66 / $25.19	Professional		$18.66	$18.66	$25.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.66 / $18.66 / $26.12	Facility		$18.66	$18.66	$26.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $18.66 / $46.70	Facility		$9.69	$18.66	$46.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $20.53 / $26.12	Professional		$17.73	$20.53	$26.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $50.27 / $60.42 / $73.25	Facility		$50.27	$60.42	$73.25
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 $7.84 / $7.84 / $22.39	Professional		$7.84	$7.84	$22.39