Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.80 / $97.68 / $128.25	Facility		$22.80	$97.68	$128.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $14.01 / $15.76	Professional		$13.54	$14.01	$15.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.60 / $41.47 / $56.62	Facility		$25.60	$41.47	$56.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $18.17 / $28.20	Professional		$11.37	$18.17	$28.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $38.65 / $41.70	Professional		$15.76	$38.65	$41.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.74 / $19.82 / $60.66	Facility		$13.74	$19.82	$60.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $18.12 / $31.71	Professional		$15.76	$18.12	$31.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.76 / $21.28 / $43.05	Facility		$15.76	$21.28	$43.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.74 / $19.71 / $45.70	Facility		$13.74	$19.71	$45.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $19.70 / $25.80	Professional		$15.76	$19.70	$25.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.73 / $48.65 / $65.11	Facility		$30.73	$48.65	$65.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $20.10 / $38.56	Professional		$14.19	$20.10	$38.56
United Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $9.01 / $22.27	Professional		$6.62	$9.01	$22.27