Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.56 / $41.88 / $78.00	Facility		$22.56	$41.88	$78.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $17.51 / $22.17	Professional		$13.06	$17.51	$22.17
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 $12.25 / $20.65 / $32.31	Professional		$12.25	$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 $13.15 / $18.05 / $37.65	Facility		$13.15	$18.05	$37.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $24.59	Professional		$18.05	$18.05	$24.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $21.66 / $39.85	Facility		$18.05	$21.66	$39.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.15 / $21.66 / $52.35	Facility		$13.15	$21.66	$52.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $21.66 / $29.56	Professional		$18.05	$21.66	$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 / $24.63 / $44.31	Professional		$16.22	$24.63	$44.31
United Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $8.61 / $21.66	Professional		$7.58	$8.61	$21.66