Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.25 / $71.40 / $150.10	Facility		$27.25	$71.40	$150.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $17.01 / $22.49	Professional		$16.35	$17.01	$22.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.53 / $49.45 / $67.48	Facility		$30.53	$49.45	$67.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $21.48 / $33.49	Professional		$13.50	$21.48	$33.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $45.75 / $49.35	Professional		$18.79	$45.75	$49.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $23.63 / $63.08	Facility		$17.05	$23.63	$63.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $22.55 / $37.81	Professional		$18.79	$22.55	$37.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.79 / $25.37 / $43.05	Facility		$18.79	$25.37	$43.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $23.63 / $54.49	Facility		$17.05	$23.63	$54.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $22.55 / $30.78	Professional		$18.79	$22.55	$30.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.64 / $58.00 / $77.63	Facility		$36.64	$58.00	$77.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $23.97 / $45.95	Professional		$16.80	$23.97	$45.95
United Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $10.74 / $22.55	Professional		$7.89	$10.74	$22.55