Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.46 / $79.83 / $123.30	Facility		$33.46	$79.83	$123.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $14.32 / $22.76	Professional		$11.88	$14.32	$22.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $42.28 / $57.65	Facility		$26.10	$42.28	$57.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $18.59 / $28.79	Professional		$11.54	$18.59	$28.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $39.45 / $42.56	Professional		$16.05	$39.45	$42.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $20.20 / $53.12	Facility		$14.00	$20.20	$53.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $19.27 / $27.30	Professional		$16.05	$19.27	$27.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $21.81 / $35.45	Facility		$16.05	$21.81	$35.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $20.20 / $46.57	Facility		$14.00	$20.20	$46.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $20.07 / $26.29	Professional		$16.05	$20.07	$26.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.32 / $49.58 / $66.34	Facility		$31.32	$49.58	$66.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $20.48 / $39.38	Professional		$14.48	$20.48	$39.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $9.18 / $19.27	Professional		$6.75	$9.18	$19.27