Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.25 / $36.54 / $70.59	Facility		$30.25	$36.54	$70.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $24.45 / $127.76	Professional		$24.45	$24.45	$127.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.98 / $66.38 / $84.54	Facility		$40.98	$66.38	$84.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $28.91 / $45.23	Professional		$16.87	$28.91	$45.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $61.53 / $66.39	Professional		$25.21	$61.53	$66.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.35 / $29.61 / $78.84	Facility		$21.35	$29.61	$78.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $30.25 / $47.38	Professional		$25.21	$30.25	$47.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.21 / $32.83 / $56.38	Facility		$25.21	$32.83	$56.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.35 / $30.50 / $73.11	Facility		$21.35	$30.50	$73.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $30.44 / $38.54	Professional		$25.21	$30.44	$38.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49.16 / $76.70 / $104.15	Facility		$49.16	$76.70	$104.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.59 / $30.02 / $62.36	Professional		$22.59	$30.02	$62.36
United Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $13.46 / $30.25	Professional		$10.59	$13.46	$30.25