Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.85 / $45.62 / $154.16	Facility		$25.85	$45.62	$154.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $16.94 / $59.29	Professional		$15.31	$16.94	$59.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.98 / $46.94 / $64.02	Facility		$28.98	$46.94	$64.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $26.85 / $60.28	Professional		$13.71	$26.85	$60.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $84.28 / $89.02	Professional		$17.82	$84.28	$89.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.97 / $22.43 / $52.76	Facility		$16.97	$22.43	$52.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $24.29 / $29.35	Professional		$17.82	$24.29	$29.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $20.14 / $39.36	Facility		$17.82	$20.14	$39.36
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $17.82 / $24.96	Professional		$17.82	$17.82	$24.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.97 / $22.43 / $46.94	Facility		$16.97	$22.43	$46.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $22.29 / $29.20	Professional		$17.82	$22.29	$29.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.77 / $55.03 / $73.66	Facility		$34.77	$55.03	$73.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $28.61 / $86.97	Professional		$18.22	$28.61	$86.97
United Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $10.19 / $23.72	Professional		$7.49	$10.19	$23.72