Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $25.96 / $50.12	Facility		$21.48	$25.96	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $17.36 / $95.02	Professional		$15.58	$17.36	$95.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.10 / $47.14 / $62.93	Facility		$29.10	$47.14	$62.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $20.65 / $32.31	Professional		$12.61	$20.65	$32.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $43.38 / $46.80	Professional		$17.89	$43.38	$46.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.88 / $22.02 / $58.10	Facility		$15.88	$22.02	$58.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $21.48 / $35.24	Professional		$17.89	$21.48	$35.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $24.17 / $39.51	Facility		$17.89	$24.17	$39.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.88 / $22.02 / $51.91	Facility		$15.88	$22.02	$51.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $21.48 / $28.68	Professional		$17.89	$21.48	$28.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.90 / $54.47 / $73.95	Facility		$34.90	$54.47	$73.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $22.33 / $44.31	Professional		$15.93	$22.33	$44.31
United Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $10.01 / $21.48	Professional		$7.52	$10.01	$21.48