Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.02 / $32.65 / $63.06	Facility		$27.02	$32.65	$63.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.02 / $21.84 / $122.11	Professional		$20.02	$21.84	$122.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.60 / $59.29 / $80.87	Facility		$36.60	$59.29	$80.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.16 / $26.02 / $40.53	Professional		$16.16	$26.02	$40.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $55.23 / $59.56	Professional		$22.52	$55.23	$59.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.41 / $26.29 / $74.70	Facility		$20.41	$26.29	$74.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $27.02 / $38.85	Professional		$22.52	$27.02	$38.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $30.40 / $49.71	Facility		$22.52	$30.40	$49.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.41 / $27.25 / $65.31	Facility		$20.41	$27.25	$65.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $28.15 / $36.86	Professional		$22.52	$28.15	$36.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.91 / $69.50 / $93.04	Facility		$43.91	$69.50	$93.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $28.70 / $55.79	Professional		$20.28	$28.70	$55.79
United Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $12.87 / $27.02	Professional		$9.46	$12.87	$27.02