Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.53 / $28.43 / $54.91	Facility		$23.53	$28.43	$54.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.67 / $19.02 / $28.43	Professional		$14.67	$19.02	$28.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.88 / $51.64 / $60.56	Facility		$31.88	$51.64	$60.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $22.01 / $35.25	Professional		$12.08	$22.01	$35.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.61 / $48.13 / $51.91	Professional		$19.61	$48.13	$51.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $21.21 / $59.14	Facility		$15.29	$21.21	$59.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.61 / $22.97 / $32.15	Professional		$19.61	$22.97	$32.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.61 / $23.53 / $43.29	Facility		$19.61	$23.53	$43.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $23.73 / $56.87	Facility		$15.29	$23.73	$56.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.61 / $21.80 / $27.61	Professional		$19.61	$21.80	$27.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.24 / $59.67 / $81.02	Facility		$38.24	$59.67	$81.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $21.50 / $48.41	Professional		$17.23	$21.50	$48.41
United Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $9.64 / $23.57	Professional		$8.24	$9.64	$23.57