Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.09 / $59.26 / $202.94	Facility		$26.09	$59.26	$202.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.20 / $13.58 / $25.59	Professional		$12.20	$13.58	$25.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $49.09 / $54.18	Facility		$30.30	$49.09	$54.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $19.73 / $33.49	Professional		$9.77	$19.73	$33.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $45.75 / $49.35	Professional		$18.64	$45.75	$49.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.39 / $19.89 / $45.65	Facility		$13.39	$19.89	$45.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $18.82 / $25.16	Professional		$18.64	$18.82	$25.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $21.06 / $41.15	Facility		$18.64	$21.06	$41.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $22.37 / $49.16	Facility		$13.58	$22.37	$49.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $20.50 / $26.66	Professional		$17.71	$20.50	$26.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.35 / $56.72 / $77.01	Facility		$36.35	$56.72	$77.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $17.46 / $45.95	Professional		$14.00	$17.46	$45.95
United Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $7.83 / $22.37	Professional		$7.83	$7.83	$22.37