Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $53.12 / $133.10	Facility		$20.00	$53.12	$133.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $17.07 / $26.05	Professional		$14.03	$17.07	$26.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.83 / $49.94 / $68.16	Facility		$30.83	$49.94	$68.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $21.89 / $34.07	Professional		$13.68	$21.89	$34.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $46.55 / $50.21	Professional		$18.97	$46.55	$50.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $23.86 / $63.91	Facility		$17.21	$23.86	$63.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $21.82 / $38.17	Professional		$18.97	$21.82	$38.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.97 / $23.47 / $45.10	Facility		$18.97	$23.47	$45.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $23.86 / $55.01	Facility		$17.21	$23.86	$55.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $22.76 / $31.07	Professional		$18.97	$22.76	$31.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.99 / $58.55 / $78.37	Facility		$36.99	$58.55	$78.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $24.18 / $46.77	Professional		$17.09	$24.18	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $10.84 / $26.51	Professional		$7.97	$10.84	$26.51