Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.69 / $36.36 / $95.04	Facility		$19.69	$36.36	$95.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $13.01 / $82.00	Professional		$10.98	$13.01	$82.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.88 / $40.29 / $44.48	Facility		$24.88	$40.29	$44.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $16.32 / $27.61	Professional		$8.17	$16.32	$27.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $37.07 / $40.00	Professional		$15.30	$37.07	$40.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.14 / $17.61 / $60.66	Facility		$11.14	$17.61	$60.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.60 / $23.05	Professional		$15.30	$15.60	$23.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $17.28 / $33.77	Facility		$15.30	$17.28	$33.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.14 / $18.36 / $41.11	Facility		$11.14	$18.36	$41.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $16.82 / $21.42	Professional		$14.80	$16.82	$21.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $46.56 / $63.21	Facility		$29.84	$46.56	$63.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $14.60 / $37.74	Professional		$11.70	$14.60	$37.74
United Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $6.54 / $18.36	Professional		$6.43	$6.54	$18.36