Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.51 / $33.07 / $86.68	Facility		$28.51	$33.07	$86.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $20.67 / $27.30	Professional		$20.28	$20.67	$27.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.08 / $60.06 / $81.91	Facility		$37.08	$60.06	$81.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $26.43 / $41.12	Professional		$16.34	$26.43	$41.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $55.99 / $60.42	Professional		$22.81	$55.99	$60.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.69 / $26.29 / $76.36	Facility		$20.69	$26.29	$76.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $27.37 / $45.92	Professional		$22.81	$27.37	$45.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.81 / $30.79 / $58.43	Facility		$22.81	$30.79	$58.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.69 / $27.60 / $66.15	Facility		$20.69	$27.60	$66.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $27.37 / $37.36	Professional		$22.81	$27.37	$37.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.48 / $70.40 / $94.24	Facility		$44.48	$70.40	$94.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $29.09 / $56.61	Professional		$20.57	$29.09	$56.61
United Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $13.04 / $27.37	Professional		$9.58	$13.04	$27.37