Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $25.65 / $49.53	Facility		$21.23	$25.65	$49.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $17.16 / $95.98	Professional		$17.16	$17.16	$95.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.75 / $46.58 / $63.54	Facility		$28.75	$46.58	$63.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $20.65 / $31.72	Professional		$12.61	$20.65	$31.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $43.38 / $46.80	Professional		$17.69	$43.38	$46.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.16 / $21.47 / $59.76	Facility		$17.16	$21.47	$59.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $21.23 / $35.60	Professional		$17.69	$21.23	$35.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.69 / $23.88 / $45.10	Facility		$17.69	$23.88	$45.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.69 / $21.47 / $51.30	Facility		$17.69	$21.47	$51.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $21.23 / $28.97	Professional		$17.69	$21.23	$28.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.50 / $54.60 / $73.08	Facility		$34.50	$54.60	$73.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $22.55 / $43.49	Professional		$15.93	$22.55	$43.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $10.11 / $21.23	Professional		$7.43	$10.11	$21.23