Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.13 / $39.01 / $91.79	Facility		$15.13	$39.01	$91.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $15.59 / $21.82	Professional		$15.09	$15.59	$21.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $46.45 / $62.19	Facility		$28.68	$46.45	$62.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $20.65 / $31.72	Professional		$12.43	$20.65	$31.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $43.38 / $46.80	Professional		$17.64	$43.38	$46.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.70 / $21.47 / $57.27	Facility		$15.70	$21.47	$57.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $21.18 / $28.95	Professional		$17.64	$21.18	$28.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $23.52 / $38.96	Facility		$17.64	$23.52	$38.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.70 / $21.47 / $51.19	Facility		$15.70	$21.47	$51.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $21.18 / $28.36	Professional		$17.64	$21.18	$28.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.42 / $53.71 / $72.92	Facility		$34.42	$53.71	$72.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $22.08 / $43.49	Professional		$15.93	$22.08	$43.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.90 / $21.18	Professional		$7.41	$9.90	$21.18