Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.26 / $29.32 / $56.62	Facility		$24.26	$29.32	$56.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $19.61 / $109.66	Professional		$17.98	$19.61	$109.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.85 / $53.22 / $72.59	Facility		$32.85	$53.22	$72.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $23.54 / $36.42	Professional		$14.56	$23.54	$36.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $49.69 / $53.62	Professional		$20.22	$49.69	$53.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.32 / $25.42 / $67.23	Facility		$18.32	$25.42	$67.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $24.26 / $40.67	Professional		$20.22	$24.26	$40.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $24.26 / $44.64	Facility		$20.22	$24.26	$44.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.32 / $25.42 / $58.64	Facility		$18.32	$25.42	$58.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $24.26 / $33.10	Professional		$20.22	$24.26	$33.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $39.43 / $62.43 / $83.54	Facility		$39.43	$62.43	$83.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $25.77 / $50.05	Professional		$18.25	$25.77	$50.05
United Facility/Professional Facility Modifier Low / Median / High Price $30.33 / $30.33 / $32.35	Facility		$30.33	$30.33	$32.35
United Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $11.55 / $24.26	Professional		$8.49	$11.55	$24.26