Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.13 / $30.36 / $58.63	Facility		$25.13	$30.36	$58.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.67 / $20.30 / $107.00	Professional		$15.67	$20.30	$107.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.03 / $55.12 / $67.62	Facility		$34.03	$55.12	$67.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $24.37 / $37.60	Professional		$13.50	$24.37	$37.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.94 / $51.27 / $55.32	Professional		$20.94	$51.27	$55.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.75 / $22.82 / $63.08	Facility		$17.75	$22.82	$63.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.94 / $24.73 / $36.52	Professional		$20.94	$24.73	$36.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.94 / $26.27 / $48.18	Facility		$20.94	$26.27	$48.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.94 / $25.34 / $60.73	Facility		$20.94	$25.34	$60.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.94 / $23.47 / $29.72	Professional		$20.94	$23.47	$29.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.83 / $63.72 / $86.51	Facility		$40.83	$63.72	$86.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $23.15 / $51.69	Professional		$18.55	$23.15	$51.69
United Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $10.76 / $25.13	Professional		$8.78	$10.76	$25.13