Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.99 / $45.85 / $119.77	Facility		$22.99	$45.85	$119.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $17.84 / $27.58	Professional		$16.11	$17.84	$27.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.88 / $48.40 / $66.04	Facility		$29.88	$48.40	$66.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.14 / $21.06 / $32.90	Professional		$13.14	$21.06	$32.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $44.96 / $48.52	Professional		$18.39	$44.96	$48.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.84 / $21.91 / $61.42	Facility		$17.84	$21.91	$61.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $21.15 / $26.48	Professional		$18.39	$21.15	$26.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $24.83 / $40.60	Facility		$18.39	$24.83	$40.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $22.25 / $53.33	Facility		$18.39	$22.25	$53.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $22.07 / $30.11	Professional		$18.39	$22.07	$30.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35.86 / $56.78 / $75.98	Facility		$35.86	$56.78	$75.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $23.45 / $45.13	Professional		$16.51	$23.45	$45.13
United Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $10.51 / $22.07	Professional		$7.72	$10.51	$22.07