Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.70 / $28.64 / $55.30	Facility		$23.70	$28.64	$55.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $19.16 / $28.64	Professional		$15.71	$19.16	$28.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.10 / $52.00 / $64.83	Facility		$32.10	$52.00	$64.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $22.72 / $35.25	Professional		$12.96	$22.72	$35.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $48.13 / $51.91	Professional		$19.75	$48.13	$51.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $21.08 / $48.00	Facility		$15.60	$21.08	$48.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $22.71 / $31.54	Professional		$19.75	$22.71	$31.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.75 / $23.70 / $43.60	Facility		$19.75	$23.70	$43.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.37 / $23.70 / $54.45	Facility		$16.37	$23.70	$54.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $23.53 / $29.56	Professional		$19.75	$23.53	$29.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.51 / $60.10 / $81.59	Facility		$38.51	$60.10	$81.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $23.01 / $48.41	Professional		$17.67	$23.01	$48.41
United Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $8.94 / $23.70	Professional		$8.30	$8.94	$23.70