Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $25.77 / $49.76	Facility		$21.32	$25.77	$49.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $17.23 / $81.79	Professional		$17.21	$17.23	$81.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $46.78 / $54.10	Facility		$28.88	$46.78	$54.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $19.73 / $31.72	Professional		$10.83	$19.73	$31.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $43.38 / $46.80	Professional		$17.77	$43.38	$46.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $19.23 / $44.48	Facility		$14.46	$19.23	$44.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $20.54 / $28.35	Professional		$17.77	$20.54	$28.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.77 / $21.02 / $39.22	Facility		$17.77	$21.02	$39.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.77 / $21.32 / $46.78	Facility		$17.77	$21.32	$46.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $19.73 / $24.88	Professional		$17.77	$19.73	$24.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $54.07 / $73.41	Facility		$34.65	$54.07	$73.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $19.22 / $43.49	Professional		$15.41	$19.22	$43.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $8.61 / $21.32	Professional		$7.46	$8.61	$21.32