Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.52 / $30.84 / $59.56	Facility		$25.52	$30.84	$59.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $20.63 / $103.83	Professional		$20.63	$20.63	$103.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.58 / $56.01 / $68.72	Facility		$34.58	$56.01	$68.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $24.37 / $38.18	Professional		$13.68	$24.37	$38.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $52.06 / $56.18	Professional		$21.27	$52.06	$56.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.71 / $24.06 / $63.91	Facility		$18.71	$24.06	$63.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $26.30 / $55.65	Professional		$21.27	$26.30	$55.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $26.59 / $54.33	Facility		$21.27	$26.59	$54.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $25.74 / $61.68	Facility		$21.27	$25.74	$61.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $24.73 / $31.32	Professional		$21.27	$24.73	$31.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.48 / $64.72 / $87.87	Facility		$41.48	$64.72	$87.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $24.39 / $52.51	Professional		$19.12	$24.39	$52.51
United Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $10.93 / $25.52	Professional		$8.93	$10.93	$25.52