Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.55 / $84.30 / $169.80	Facility		$26.55	$84.30	$169.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $16.89 / $34.68	Professional		$14.33	$16.89	$34.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.50 / $51.03 / $69.62	Facility		$31.50	$51.03	$69.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $22.30 / $34.65	Professional		$13.85	$22.30	$34.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $47.34 / $51.07	Professional		$19.38	$47.34	$51.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $26.88 / $85.50	Facility		$16.89	$26.88	$85.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $22.29 / $39.00	Professional		$19.38	$22.29	$39.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $26.16 / $50.23	Facility		$19.38	$26.16	$50.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $24.37 / $56.20	Facility		$16.89	$24.37	$56.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $23.26 / $31.73	Professional		$19.38	$23.26	$31.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $59.80 / $80.06	Facility		$37.79	$59.80	$80.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $24.71 / $47.59	Professional		$17.38	$24.71	$47.59
United Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $11.08 / $23.26	Professional		$8.14	$11.08	$23.26