Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $50.28 / $60.68	Facility		$27.09	$50.28	$60.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $15.79 / $27.09	Professional		$10.84	$15.79	$27.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.22 / $54.25 / $62.98	Facility		$35.22	$54.25	$62.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $22.77 / $38.77	Professional		$8.88	$22.77	$38.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $52.85 / $57.01	Professional		$21.67	$52.85	$57.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.84 / $21.67 / $45.19	Facility		$10.84	$21.67	$45.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $21.67 / $29.25	Professional		$18.05	$21.67	$29.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.67 / $23.84 / $47.84	Facility		$21.67	$23.84	$47.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.78 / $26.00 / $54.25	Facility		$15.78	$26.00	$54.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $23.84 / $30.34	Professional		$17.14	$23.84	$30.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42.26 / $65.94 / $89.51	Facility		$42.26	$65.94	$89.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $19.72 / $53.33	Professional		$13.57	$19.72	$53.33
United Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $9.10 / $26.00	Professional		$7.58	$9.10	$26.00