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 $20.52 / $27.65 / $108.02	Professional		$20.52	$27.65	$108.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.33 / $71.50 / $82.83	Facility		$46.33	$71.50	$82.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $29.98 / $51.11	Professional		$14.21	$29.98	$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 $16.52 / $28.50 / $59.45	Facility		$16.52	$28.50	$59.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $28.50 / $35.63	Professional		$27.13	$28.50	$35.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $29.93 / $62.91	Facility		$28.50	$29.93	$62.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.76 / $34.20 / $71.34	Facility		$20.76	$34.20	$71.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $31.35 / $39.90	Professional		$25.75	$31.35	$39.90
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 $20.35 / $25.94 / $70.56	Professional		$20.35	$25.94	$70.56
United Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $11.97 / $34.20	Professional		$11.38	$11.97	$34.20