Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.25 / $48.37 / $126.69	Facility		$24.25	$48.37	$126.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $18.82 / $105.27	Professional		$17.54	$18.82	$105.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.53 / $51.07 / $69.65	Facility		$31.53	$51.07	$69.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $22.30 / $34.65	Professional		$13.85	$22.30	$34.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $47.34 / $51.07	Professional		$19.39	$47.34	$51.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.59 / $24.40 / $64.73	Facility		$17.59	$24.40	$64.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $23.28 / $38.85	Professional		$19.39	$23.28	$38.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $23.28 / $42.83	Facility		$19.39	$23.28	$42.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.59 / $24.40 / $56.26	Facility		$17.59	$24.40	$56.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $23.28 / $31.75	Professional		$19.39	$23.28	$31.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37.83 / $59.88 / $80.15	Facility		$37.83	$59.88	$80.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $24.73 / $47.59	Professional		$17.38	$24.73	$47.59
United Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $11.09 / $23.28	Professional		$8.15	$11.09	$23.28