Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.61 / $84.24 / $169.10	Facility		$22.61	$84.24	$169.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $18.01 / $33.21	Professional		$15.90	$18.01	$33.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.80 / $49.90 / $68.09	Facility		$30.80	$49.90	$68.09
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 $18.96 / $46.55 / $50.21	Professional		$18.96	$46.55	$50.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $26.30 / $70.09	Facility		$16.54	$26.30	$70.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $21.80 / $31.09	Professional		$18.96	$21.80	$31.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $23.47 / $41.85	Facility		$18.96	$23.47	$41.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $22.94 / $54.98	Facility		$16.54	$22.94	$54.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $23.70 / $31.06	Professional		$18.96	$23.70	$31.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.97 / $58.53 / $78.33	Facility		$36.97	$58.53	$78.33
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 $7.96 / $10.84 / $22.75	Professional		$7.96	$10.84	$22.75