Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $28.84 / $83.18	Facility		$23.44	$28.84	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $28.84	Professional		$12.02	$14.13	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $53.70	Facility		$30.20	$30.20	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $21.38 / $33.11	Professional		$10.47	$21.38	$33.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $40.74 / $47.86	Professional		$18.62	$40.74	$47.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.38 / $25.12	Professional		$18.62	$21.38	$25.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $19.50 / $28.18	Facility		$18.62	$19.50	$28.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $25.70 / $54.95	Facility		$18.20	$25.70	$54.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.42 / $26.30	Professional		$17.78	$20.42	$26.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $56.23 / $77.62	Facility		$28.18	$56.23	$77.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $22.39	Professional		$14.13	$16.98	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $29.51	Facility		$22.39	$22.39	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $22.39	Professional		$7.76	$7.76	$22.39