Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.34 / $30.55 / $91.65	Facility		$26.34	$30.55	$91.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $20.44 / $114.27	Professional		$18.73	$20.44	$114.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.25 / $55.49 / $75.64	Facility		$34.25	$55.49	$75.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $24.37 / $37.60	Professional		$15.10	$24.37	$37.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $51.27 / $55.32	Professional		$21.07	$51.27	$55.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $26.00 / $70.55	Facility		$19.10	$26.00	$70.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $25.28 / $42.38	Professional		$21.07	$25.28	$42.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.07 / $28.44 / $46.51	Facility		$21.07	$28.44	$46.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $26.00 / $61.10	Facility		$19.10	$26.00	$61.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $25.28 / $34.49	Professional		$21.07	$25.28	$34.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.09 / $65.03 / $87.05	Facility		$41.09	$65.03	$87.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $26.86 / $51.69	Professional		$18.82	$26.86	$51.69
United Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $12.04 / $25.28	Professional		$8.85	$12.04	$25.28