Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.16 / $35.24 / $68.04	Facility		$29.16	$35.24	$68.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $23.57 / $131.88	Professional		$23.57	$23.57	$131.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.50 / $63.99 / $87.29	Facility		$39.50	$63.99	$87.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $28.08 / $43.47	Professional		$17.39	$28.08	$43.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $59.16 / $63.83	Professional		$24.30	$59.16	$63.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.57 / $30.56 / $81.34	Facility		$23.57	$30.56	$81.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $29.16 / $48.90	Professional		$24.30	$29.16	$48.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.30 / $32.81 / $71.75	Facility		$24.30	$32.81	$71.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.30 / $30.56 / $70.47	Facility		$24.30	$30.56	$70.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $29.16 / $39.79	Professional		$24.30	$29.16	$39.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.39 / $75.03 / $100.39	Facility		$47.39	$75.03	$100.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $30.99 / $59.90	Professional		$21.73	$30.99	$59.90
United Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $13.90 / $29.16	Professional		$10.21	$13.90	$29.16