Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.16 / $24.36 / $47.04	Facility		$20.16	$24.36	$47.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $16.30 / $67.70	Professional		$14.93	$16.30	$67.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $44.23 / $48.81	Facility		$27.30	$44.23	$48.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $19.41 / $29.96	Professional		$8.88	$19.41	$29.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $41.01 / $44.25	Professional		$16.80	$41.01	$44.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.86 / $16.80 / $35.04	Facility		$5.86	$16.80	$35.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $16.80 / $32.54	Professional		$5.23	$16.80	$32.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $21.00 / $37.09	Facility		$16.80	$21.00	$37.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.24 / $20.16 / $42.04	Facility		$12.24	$20.16	$42.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $18.48 / $23.52	Professional		$5.23	$18.48	$23.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.40 / $51.12 / $69.41	Facility		$29.40	$51.12	$69.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $15.29 / $41.03	Professional		$3.89	$15.29	$41.03
United Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $25.20 / $26.88	Facility		$25.20	$25.20	$26.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $7.13 / $20.16	Professional		$7.06	$7.13	$20.16