Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $24.65 / $73.95	Facility		$21.25	$24.65	$73.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $16.48 / $24.65	Professional		$14.60	$16.48	$24.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.63 / $44.75 / $60.24	Facility		$27.63	$44.75	$60.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $19.82 / $30.55	Professional		$12.08	$19.82	$30.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $41.80 / $45.11	Professional		$17.00	$41.80	$45.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.21 / $20.13 / $55.61	Facility		$15.21	$20.13	$55.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $19.55 / $27.05	Professional		$17.00	$19.55	$27.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $20.75 / $37.53	Facility		$17.00	$20.75	$37.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.21 / $20.57 / $49.30	Facility		$15.21	$20.57	$49.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $20.39 / $26.22	Professional		$17.00	$20.39	$26.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $51.78 / $70.23	Facility		$33.15	$51.78	$70.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $20.42 / $41.85	Professional		$15.35	$20.42	$41.85
United Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $9.59 / $23.44	Professional		$7.14	$9.59	$23.44