Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.68 / $43.23 / $48.55	Facility		$21.68	$43.23	$48.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $16.82 / $94.09	Professional		$15.42	$16.82	$94.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $45.64 / $62.27	Facility		$28.18	$45.64	$62.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $20.23 / $31.14	Professional		$12.43	$20.23	$31.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $42.59 / $45.97	Professional		$17.34	$42.59	$45.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.35 / $18.50 / $36.15	Facility		$14.35	$18.50	$36.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $20.81 / $34.65	Professional		$17.34	$20.81	$34.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.34 / $23.41 / $38.28	Facility		$17.34	$23.41	$38.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $20.98 / $50.29	Facility		$15.73	$20.98	$50.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $21.68 / $28.39	Professional		$17.34	$21.68	$28.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.81 / $53.50 / $71.64	Facility		$33.81	$53.50	$71.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $22.10 / $42.67	Professional		$15.65	$22.10	$42.67
United Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $8.60 / $20.81	Professional		$7.28	$8.60	$20.81