Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $43.47 / $83.94	Facility		$35.97	$43.47	$83.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $16.00 / $41.17	Professional		$2.96	$16.00	$41.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $75.04 / $87.12	Facility		$48.73	$75.04	$87.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $31.49 / $54.05	Professional		$1.78	$31.49	$54.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $73.36 / $79.15	Professional		$29.98	$73.36	$79.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.23 / $21.84 / $62.52	Facility		$3.23	$21.84	$62.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $29.98 / $37.47	Professional		$3.49	$29.98	$37.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.98 / $31.48 / $66.18	Facility		$26.98	$31.48	$66.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $35.97 / $65.36	Facility		$18.00	$35.97	$65.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $32.97 / $41.97	Professional		$3.49	$32.97	$41.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.47 / $88.50 / $117.70	Facility		$52.47	$88.50	$117.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $26.94 / $73.84	Professional		$2.63	$26.94	$73.84
United Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $17.98 / $29.98	Professional		$2.09	$17.98	$29.98