Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.18 / $32.84 / $63.42	Facility		$27.18	$32.84	$63.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.97 / $21.97 / $122.89	Professional		$21.97	$21.97	$122.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $59.62 / $81.34	Facility		$36.79	$59.62	$81.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.16 / $26.02 / $40.53	Professional		$16.16	$26.02	$40.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $55.23 / $59.56	Professional		$22.65	$55.23	$59.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.53 / $28.49 / $76.36	Facility		$20.53	$28.49	$76.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $27.18 / $45.58	Professional		$22.65	$27.18	$45.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.65 / $30.58 / $63.55	Facility		$22.65	$30.58	$63.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.53 / $28.49 / $65.69	Facility		$20.53	$28.49	$65.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $27.18 / $37.08	Professional		$22.65	$27.18	$37.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.17 / $69.90 / $93.58	Facility		$44.17	$69.90	$93.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $28.87 / $55.79	Professional		$20.28	$28.87	$55.79
United Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $12.94 / $27.18	Professional		$9.51	$12.94	$27.18