Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $85.74 / $149.13	Facility		$26.94	$85.74	$149.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $16.64 / $37.15	Professional		$13.74	$16.64	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $48.92 / $66.73	Facility		$30.20	$48.92	$66.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.32 / $21.06 / $33.49	Professional		$13.32	$21.06	$33.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $44.96 / $48.52	Professional		$18.57	$44.96	$48.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $25.77 / $74.70	Facility		$16.84	$25.77	$74.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $21.37 / $37.40	Professional		$18.57	$21.37	$37.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $22.30 / $41.02	Facility		$18.57	$22.30	$41.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $22.48 / $53.88	Facility		$16.84	$22.48	$53.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $23.23 / $30.42	Professional		$18.57	$23.23	$30.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $57.35 / $76.76	Facility		$36.22	$57.35	$76.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $23.69 / $45.95	Professional		$16.51	$23.69	$45.95
United Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $10.62 / $22.30	Professional		$7.80	$10.62	$22.30