Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $46.16 / $82.80	Facility		$25.37	$46.16	$82.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $13.38 / $17.96	Professional		$11.82	$13.38	$17.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $48.76 / $53.82	Facility		$30.10	$48.76	$53.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $19.35 / $33.49	Professional		$9.77	$19.35	$33.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $44.96 / $48.52	Professional		$18.52	$44.96	$48.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.25 / $19.76 / $38.61	Facility		$11.25	$19.76	$38.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $18.69 / $25.19	Professional		$18.52	$18.69	$25.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.52 / $20.37 / $40.88	Facility		$18.52	$20.37	$40.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.48 / $22.22 / $48.76	Facility		$13.48	$22.22	$48.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $20.37 / $25.93	Professional		$17.57	$20.37	$25.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $56.36 / $76.51	Facility		$36.11	$56.36	$76.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $17.32 / $45.95	Professional		$13.89	$17.32	$45.95
United Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $7.78 / $22.22	Professional		$7.77	$7.78	$22.22