Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.31 / $81.00 / $137.96	Facility		$38.31	$81.00	$137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $16.55 / $25.25	Professional		$15.08	$16.55	$25.25
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 $16.68 / $25.51 / $81.00	Facility		$16.68	$25.51	$81.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $21.15 / $31.50	Professional		$18.39	$21.15	$31.50
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 $16.68 / $23.13 / $53.33	Facility		$16.68	$23.13	$53.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $22.99 / $30.11	Professional		$18.39	$22.99	$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