Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $35.48 / $102.33	Facility		$28.84	$35.48	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.95 / $35.48	Professional		$14.45	$19.95	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $60.26 / $66.07	Facility		$37.15	$60.26	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $22.91 / $40.74	Professional		$11.48	$22.91	$40.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $50.12 / $58.88	Professional		$22.91	$50.12	$58.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $27.54	Facility		$22.91	$22.91	$27.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.30 / $33.11	Professional		$22.91	$26.30	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $43.65	Facility		$22.91	$22.91	$43.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $31.62 / $67.61	Facility		$16.98	$31.62	$67.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $79.43	Professional		$20.89	$25.12	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $69.18 / $95.50	Facility		$34.67	$69.18	$95.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $20.89 / $27.54	Professional		$17.38	$20.89	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $37.15	Facility		$27.54	$27.54	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.77 / $27.54	Professional		$9.55	$9.77	$27.54