Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.92 / $40.26 / $52.80	Facility		$22.92	$40.26	$52.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $17.10 / $22.37	Professional		$15.26	$17.10	$22.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $46.41 / $63.33	Facility		$28.65	$46.41	$63.33
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 $17.63 / $43.38 / $46.80	Professional		$17.63	$43.38	$46.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.38 / $21.47 / $58.10	Facility		$15.38	$21.47	$58.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $21.16 / $35.47	Professional		$17.63	$21.16	$35.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.63 / $21.16 / $44.08	Facility		$17.63	$21.16	$44.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.38 / $21.47 / $51.13	Facility		$15.38	$21.47	$51.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $21.16 / $28.87	Professional		$17.63	$21.16	$28.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.38 / $54.43 / $72.84	Facility		$34.38	$54.43	$72.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $22.48 / $43.49	Professional		$15.93	$22.48	$43.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $10.08 / $24.91	Professional		$7.40	$10.08	$24.91