Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.68 / $54.76 / $102.66	Facility		$30.68	$54.76	$102.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $17.19 / $22.89	Professional		$15.34	$17.19	$22.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $59.07 / $68.56	Facility		$38.35	$59.07	$68.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $25.04 / $42.30	Professional		$11.72	$25.04	$42.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $57.58 / $62.14	Professional		$23.60	$57.58	$62.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $25.18 / $54.78	Facility		$16.10	$25.18	$54.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $23.60 / $38.70	Professional		$22.41	$23.60	$38.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.60 / $26.66 / $52.10	Facility		$23.60	$26.66	$52.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.19 / $28.32 / $62.13	Facility		$17.19	$28.32	$62.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $25.96 / $33.04	Professional		$21.27	$25.96	$33.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46.02 / $71.81 / $97.50	Facility		$46.02	$71.81	$97.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $21.48 / $58.26	Professional		$16.80	$21.48	$58.26
United Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $9.91 / $33.34	Professional		$9.40	$9.91	$33.34