Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $41.17 / $101.29	Facility		$20.65	$41.17	$101.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.02 / $16.02 / $89.63	Professional		$16.02	$16.02	$89.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.85 / $43.50 / $59.32	Facility		$26.85	$43.50	$59.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $19.00 / $29.37	Professional		$11.90	$19.00	$29.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $40.24 / $43.41	Professional		$16.52	$40.24	$43.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.02 / $20.78 / $54.78	Facility		$16.02	$20.78	$54.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $19.82 / $33.25	Professional		$16.52	$19.82	$33.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $22.30 / $43.05	Facility		$16.52	$22.30	$43.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $20.78 / $47.91	Facility		$16.52	$20.78	$47.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $20.65 / $27.05	Professional		$16.52	$20.65	$27.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.21 / $50.98 / $68.25	Facility		$32.21	$50.98	$68.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $21.06 / $41.03	Professional		$14.78	$21.06	$41.03
United Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $9.44 / $19.82	Professional		$6.94	$9.44	$19.82