Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.58 / $33.32 / $186.42	Facility		$27.58	$33.32	$186.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $21.37 / $33.09	Professional		$15.00	$21.37	$33.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.35 / $60.51 / $66.78	Facility		$37.35	$60.51	$66.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $24.28 / $41.12	Professional		$12.08	$24.28	$41.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $55.99 / $60.42	Professional		$22.98	$55.99	$60.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.50 / $24.52 / $59.14	Facility		$16.50	$24.52	$59.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $25.28 / $55.65	Professional		$22.98	$25.28	$55.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.98 / $25.96 / $54.33	Facility		$22.98	$25.96	$54.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $27.58 / $60.56	Facility		$16.73	$27.58	$60.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.80 / $25.28 / $32.17	Professional		$21.80	$25.28	$32.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.81 / $69.93 / $94.94	Facility		$44.81	$69.93	$94.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $21.50 / $56.61	Professional		$17.23	$21.50	$56.61
United Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.65 / $27.58	Professional		$9.64	$9.65	$27.58