Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.54 / $35.67 / $66.50	Facility		$20.54	$35.67	$66.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $15.21 / $18.98	Professional		$13.35	$15.21	$18.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.83 / $45.08 / $61.52	Facility		$27.83	$45.08	$61.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $19.82 / $30.55	Professional		$12.25	$19.82	$30.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $41.80 / $45.11	Professional		$17.12	$41.80	$45.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $18.27 / $43.14	Facility		$14.17	$18.27	$43.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $19.69 / $25.52	Professional		$17.12	$19.69	$25.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $21.19 / $37.79	Facility		$17.12	$21.19	$37.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $20.72 / $49.65	Facility		$14.94	$20.72	$49.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $20.54 / $28.04	Professional		$17.12	$20.54	$28.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.38 / $52.85 / $70.73	Facility		$33.38	$52.85	$70.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $21.83 / $41.85	Professional		$15.35	$21.83	$41.85
United Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $9.78 / $24.19	Professional		$7.19	$9.78	$24.19