Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.37 / $27.03 / $52.19	Facility		$22.37	$27.03	$52.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $18.07 / $18.07	Professional		$13.42	$18.07	$18.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $46.66 / $54.18	Facility		$30.30	$46.66	$54.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $20.11 / $33.49	Professional		$9.41	$20.11	$33.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $45.75 / $49.35	Professional		$18.64	$45.75	$49.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $18.64 / $38.86	Facility		$9.69	$18.64	$38.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $18.64 / $25.16	Professional		$18.64	$18.64	$25.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $20.50 / $27.96	Facility		$18.64	$20.50	$27.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $22.37 / $46.66	Facility		$13.58	$22.37	$46.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $20.50 / $26.66	Professional		$17.71	$20.50	$26.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.35 / $56.72 / $77.01	Facility		$36.35	$56.72	$77.01
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 $7.83 / $7.83 / $22.37	Professional		$7.83	$7.83	$22.37