Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $24.29 / $46.90	Facility		$20.10	$24.29	$46.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $16.25 / $90.89	Professional		$15.20	$16.25	$90.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.23 / $44.10 / $60.13	Facility		$27.23	$44.10	$60.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $19.41 / $29.96	Professional		$12.08	$19.41	$29.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $41.01 / $44.25	Professional		$16.75	$41.01	$44.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $21.07 / $55.61	Facility		$14.61	$21.07	$55.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $20.10 / $33.71	Professional		$16.75	$20.10	$33.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $21.80 / $42.03	Facility		$16.75	$21.80	$42.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $21.07 / $48.58	Facility		$14.61	$21.07	$48.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $20.94 / $27.42	Professional		$16.75	$20.94	$27.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $51.70 / $69.20	Facility		$32.65	$51.70	$69.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $21.35 / $41.03	Professional		$15.06	$21.35	$41.03
United Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $9.58 / $20.10	Professional		$7.04	$9.58	$20.10