Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.84 / $61.82 / $144.40	Facility		$31.84	$61.82	$144.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $21.30 / $39.24	Professional		$19.14	$21.30	$39.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.68 / $57.79 / $78.84	Facility		$35.68	$57.79	$78.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.81 / $25.19 / $39.36	Professional		$15.81	$25.19	$39.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $53.64 / $57.87	Professional		$21.96	$53.64	$57.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $27.61 / $73.04	Facility		$19.91	$27.61	$73.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $25.25 / $44.18	Professional		$21.96	$25.25	$44.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.96 / $29.65 / $53.30	Facility		$21.96	$29.65	$53.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $27.61 / $63.68	Facility		$19.91	$27.61	$63.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $27.45 / $35.95	Professional		$21.96	$27.45	$35.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42.82 / $67.80 / $90.73	Facility		$42.82	$67.80	$90.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $28.00 / $54.15	Professional		$19.70	$28.00	$54.15
United Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $12.55 / $26.35	Professional		$9.22	$12.55	$26.35