Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $39.31 / $75.91	Facility		$32.53	$39.31	$75.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.94 / $26.30 / $91.53	Professional		$20.94	$26.30	$91.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.05 / $67.84 / $78.76	Facility		$44.05	$67.84	$78.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $28.46 / $48.76	Professional		$12.25	$28.46	$48.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $66.26 / $71.48	Professional		$27.11	$66.26	$71.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $27.11 / $56.55	Facility		$11.47	$27.11	$56.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $27.11 / $36.60	Professional		$24.60	$27.11	$36.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $29.82 / $59.85	Facility		$27.11	$29.82	$59.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $32.53 / $67.84	Facility		$11.47	$32.53	$67.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.35 / $29.82 / $37.95	Professional		$23.35	$29.82	$37.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.86 / $82.50 / $112.00	Facility		$52.86	$82.50	$112.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.47 / $24.67 / $66.45	Professional		$18.47	$24.67	$66.45
United Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $11.39 / $32.53	Professional		$10.32	$11.39	$32.53