Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.78 / $29.94 / $57.82	Facility		$24.78	$29.94	$57.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $20.03 / $112.04	Professional		$20.03	$20.03	$112.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $54.35 / $74.13	Facility		$33.54	$54.35	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $23.95 / $37.01	Professional		$14.74	$23.95	$37.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $50.48 / $54.46	Professional		$20.65	$50.48	$54.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.03 / $25.97 / $68.89	Facility		$20.03	$25.97	$68.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $24.78 / $35.70	Professional		$20.65	$24.78	$35.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $24.78 / $45.58	Facility		$20.65	$24.78	$45.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $25.97 / $59.89	Facility		$20.65	$25.97	$59.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $25.81 / $33.79	Professional		$20.65	$25.81	$33.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.27 / $63.75 / $85.31	Facility		$40.27	$63.75	$85.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $26.33 / $50.87	Professional		$18.54	$26.33	$50.87
United Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $11.80 / $24.78	Professional		$8.67	$11.80	$24.78