Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.15 / $143.15 / $143.15	Facility		$143.15	$143.15	$143.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $19.30 / $37.71	Professional		$9.34	$19.30	$37.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $52.88 / $75.88	Facility		$12.30	$52.88	$75.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $17.35 / $48.34	Professional		$17.35	$17.35	$48.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $24.09 / $27.60	Professional		$20.34	$24.09	$27.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.84 / $33.18 / $52.62	Facility		$10.84	$33.18	$52.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.04 / $21.56 / $28.97	Facility		$17.04	$21.56	$28.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.84 / $36.79 / $68.84	Facility		$10.84	$36.79	$68.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $21.27 / $51.64	Professional		$17.35	$21.27	$51.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $64.80 / $111.47	Facility		$38.15	$64.80	$111.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $25.44 / $60.45	Professional		$17.87	$25.44	$60.45
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.38 / $28.49	Professional		$7.08	$12.38	$28.49