Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.56 / $42.90 / $169.26	Facility		$22.56	$42.90	$169.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.63 / $17.51 / $26.17	Professional		$15.63	$17.51	$26.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $47.51 / $64.83	Facility		$29.33	$47.51	$64.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $20.65 / $32.31	Professional		$12.96	$20.65	$32.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $44.17 / $47.66	Professional		$18.05	$44.17	$47.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.74 / $22.71 / $60.59	Facility		$15.74	$22.71	$60.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $21.66 / $33.60	Professional		$18.05	$21.66	$33.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $23.49 / $39.85	Facility		$18.05	$23.49	$39.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.74 / $22.71 / $52.35	Facility		$15.74	$22.71	$52.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $22.56 / $29.56	Professional		$18.05	$22.56	$29.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35.20 / $55.70 / $74.56	Facility		$35.20	$55.70	$74.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.01 / $44.31	Professional		$16.22	$23.01	$44.31
United Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $10.32 / $25.23	Professional		$7.58	$10.32	$25.23