Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.01 / $46.69 / $97.48	Facility		$28.01	$46.69	$97.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $21.74 / $32.49	Professional		$17.41	$21.74	$32.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.43 / $59.01 / $69.47	Facility		$36.43	$59.01	$69.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $25.04 / $39.95	Professional		$13.85	$25.04	$39.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $54.44 / $58.73	Professional		$22.41	$54.44	$58.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $23.91 / $64.73	Facility		$17.54	$23.91	$64.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $26.36 / $38.94	Professional		$22.41	$26.36	$38.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.41 / $26.99 / $49.47	Facility		$22.41	$26.99	$49.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $26.89 / $64.98	Facility		$17.54	$26.89	$64.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $25.01 / $31.68	Professional		$22.41	$25.01	$31.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.70 / $68.19 / $92.58	Facility		$43.70	$68.19	$92.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.77 / $24.66 / $54.97	Professional		$19.77	$24.66	$54.97
United Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $11.06 / $26.89	Professional		$9.41	$11.06	$26.89