Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $39.45 / $64.97	Professional		$17.68	$39.45	$64.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $20.88 / $20.88	Facility		$20.88	$20.88	$20.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $26.67 / $79.53	Professional		$11.41	$26.67	$79.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $35.18 / $46.14	Professional		$29.58	$35.18	$46.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $63.02 / $101.32	Facility		$18.77	$63.02	$101.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.79 / $29.58 / $37.52	Facility		$19.79	$29.58	$37.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.49 / $64.97 / $102.33	Facility		$22.49	$64.97	$102.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $34.99 / $81.09	Professional		$26.67	$34.99	$81.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $92.64 / $121.58 / $157.61	Facility		$92.64	$121.58	$157.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $43.81 / $103.57	Professional		$30.32	$43.81	$103.57
United Facility/Professional Professional Modifier Low / Median / High Price $38.10 / $42.72 / $91.97	Professional		$38.10	$42.72	$91.97