Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.18 / $28.01 / $54.10	Facility		$23.18	$28.01	$54.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $18.73 / $102.64	Professional		$4.83	$18.73	$102.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.40 / $50.87 / $67.94	Facility		$31.40	$50.87	$67.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $22.30 / $34.65	Professional		$13.50	$22.30	$34.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $47.34 / $51.07	Professional		$19.32	$47.34	$51.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.68 / $20.90 / $40.29	Facility		$15.68	$20.90	$40.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $22.22 / $27.82	Professional		$19.32	$22.22	$27.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $20.29 / $42.65	Facility		$19.32	$20.29	$42.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $23.38 / $56.03	Facility		$19.32	$23.38	$56.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $23.18 / $30.97	Professional		$19.32	$23.18	$30.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37.67 / $58.79 / $79.81	Facility		$37.67	$58.79	$79.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $24.12 / $47.59	Professional		$17.38	$24.12	$47.59
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $10.81 / $23.18	Professional		$8.11	$10.81	$23.18