Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.26 / $30.52 / $58.94	Facility		$25.26	$30.52	$58.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $102.75	Professional		$20.42	$20.42	$102.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.20 / $55.40 / $67.98	Facility		$34.20	$55.40	$67.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $24.37 / $37.60	Professional		$13.68	$24.37	$37.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $51.27 / $55.32	Professional		$21.05	$51.27	$55.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.52 / $23.81 / $63.08	Facility		$18.52	$23.81	$63.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $25.26 / $38.10	Professional		$21.05	$25.26	$38.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $25.26 / $53.30	Facility		$21.05	$25.26	$53.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $25.47 / $61.05	Facility		$21.05	$25.47	$61.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $24.48 / $31.00	Professional		$21.05	$24.48	$31.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.05 / $64.06 / $86.97	Facility		$41.05	$64.06	$86.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $24.14 / $51.69	Professional		$18.82	$24.14	$51.69
United Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $10.82 / $25.26	Professional		$8.84	$10.82	$25.26