Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.41 / $35.54 / $68.63	Facility		$29.41	$35.54	$68.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $23.77 / $32.60	Professional		$21.36	$23.77	$32.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $64.52 / $87.99	Facility		$39.83	$64.52	$87.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $28.08 / $44.06	Professional		$17.57	$28.08	$44.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $59.95 / $64.69	Professional		$24.51	$59.95	$64.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $30.81 / $82.17	Facility		$22.21	$30.81	$82.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $28.19 / $44.10	Professional		$24.51	$28.19	$44.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.51 / $33.29 / $54.11	Facility		$24.51	$33.29	$54.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $30.81 / $71.08	Facility		$22.21	$30.81	$71.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $29.41 / $40.11	Professional		$24.51	$29.41	$40.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.79 / $75.65 / $101.26	Facility		$47.79	$75.65	$101.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $31.23 / $60.72	Professional		$22.01	$31.23	$60.72
United Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $14.00 / $29.41	Professional		$10.29	$14.00	$29.41