Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.19 / $47.90 / $59.15	Facility		$25.19	$47.90	$59.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $19.55 / $93.75	Professional		$16.44	$19.55	$93.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.75 / $53.06 / $66.41	Facility		$32.75	$53.06	$66.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $23.13 / $36.42	Professional		$12.43	$23.13	$36.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $48.90 / $52.77	Professional		$20.14	$48.90	$52.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $20.14 / $42.03	Facility		$10.68	$20.14	$42.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $20.14 / $27.40	Professional		$20.14	$20.14	$27.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $22.17 / $44.48	Facility		$20.14	$22.17	$44.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.68 / $24.18 / $58.44	Facility		$14.68	$24.18	$58.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $23.90 / $29.82	Professional		$20.14	$23.90	$29.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $39.29 / $61.32 / $83.25	Facility		$39.29	$61.32	$83.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $25.23 / $50.05	Professional		$17.96	$25.23	$50.05
United Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $10.57 / $24.18	Professional		$8.46	$10.57	$24.18