Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.16 / $23.39 / $63.18	Facility		$20.16	$23.39	$63.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $15.65 / $87.44	Professional		$14.36	$15.65	$87.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.20 / $42.44 / $57.86	Facility		$26.20	$42.44	$57.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $18.59 / $28.79	Professional		$11.54	$18.59	$28.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $39.45 / $42.56	Professional		$16.13	$39.45	$42.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.62 / $19.71 / $53.95	Facility		$14.62	$19.71	$53.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $18.55 / $32.43	Professional		$16.13	$18.55	$32.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.13 / $21.90 / $39.97	Facility		$16.13	$21.90	$39.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.62 / $19.71 / $46.78	Facility		$14.62	$19.71	$46.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.13 / $19.36 / $26.39	Professional		$16.13	$19.36	$26.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.45 / $49.78 / $66.64	Facility		$31.45	$49.78	$66.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $20.55 / $39.38	Professional		$14.48	$20.55	$39.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $19.36	Professional		$6.77	$6.77	$19.36