Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $39.59 / $76.44	Facility		$32.76	$39.59	$76.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $21.78 / $39.31	Professional		$19.73	$21.78	$39.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.38 / $68.34 / $79.34	Facility		$44.38	$68.34	$79.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $28.84 / $48.76	Professional		$12.25	$28.84	$48.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $66.26 / $71.48	Professional		$27.30	$66.26	$71.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $27.30 / $57.27	Facility		$16.80	$27.30	$57.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $27.30 / $36.86	Professional		$23.42	$27.30	$36.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $30.84 / $60.26	Facility		$27.30	$30.84	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.88 / $32.76 / $71.89	Facility		$19.88	$32.76	$71.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $30.03 / $38.22	Professional		$23.40	$30.03	$38.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $53.24 / $83.07 / $112.79	Facility		$53.24	$83.07	$112.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $24.84 / $67.28	Professional		$17.60	$24.84	$67.28
United Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $11.47 / $27.90	Professional		$9.83	$11.47	$27.90