Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.25 / $26.88 / $51.91	Facility		$22.25	$26.88	$51.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $17.98 / $100.63	Professional		$16.48	$17.98	$100.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.13 / $48.80 / $66.56	Facility		$30.13	$48.80	$66.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.32 / $21.06 / $33.49	Professional		$13.32	$21.06	$33.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $44.96 / $48.52	Professional		$18.54	$44.96	$48.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $19.78 / $57.96	Facility		$16.80	$19.78	$57.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $21.32 / $32.39	Professional		$18.54	$21.32	$32.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $22.25 / $40.93	Facility		$18.54	$22.25	$40.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $22.43 / $53.77	Facility		$16.80	$22.43	$53.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $22.25 / $30.35	Professional		$18.54	$22.25	$30.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.15 / $57.23 / $76.59	Facility		$36.15	$57.23	$76.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $23.63 / $45.95	Professional		$16.51	$23.63	$45.95
United Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $10.60 / $22.25	Professional		$7.79	$10.60	$22.25