Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.20 / $41.33 / $79.80	Facility		$34.20	$41.33	$79.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.65 / $27.65 / $142.69	Professional		$27.65	$27.65	$142.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.33 / $75.05 / $94.42	Facility		$46.33	$75.05	$94.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $32.63 / $51.11	Professional		$18.82	$32.63	$51.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $69.42 / $74.90	Professional		$28.50	$69.42	$74.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.73 / $33.08 / $87.98	Facility		$25.73	$33.08	$87.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $34.20 / $52.92	Professional		$28.50	$34.20	$52.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $36.69 / $62.91	Facility		$28.50	$36.69	$62.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $34.49 / $82.65	Facility		$28.50	$34.49	$82.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $34.00 / $43.06	Professional		$28.50	$34.00	$43.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $55.58 / $86.73 / $117.74	Facility		$55.58	$86.73	$117.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $33.53 / $70.56	Professional		$25.49	$33.53	$70.56
United Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $15.03 / $36.75	Professional		$11.97	$15.03	$36.75