Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.05 / $80.09 / $128.25	Facility		$27.05	$80.09	$128.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.13 / $18.86 / $26.40	Professional		$18.13	$18.86	$26.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.83 / $54.80 / $74.70	Facility		$33.83	$54.80	$74.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.92 / $23.95 / $37.60	Professional		$14.92	$23.95	$37.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $50.48 / $54.46	Professional		$20.81	$50.48	$54.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.86 / $28.87 / $69.72	Facility		$18.86	$28.87	$69.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $23.93 / $41.86	Professional		$20.81	$23.93	$41.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $24.97 / $49.20	Facility		$20.81	$24.97	$49.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.86 / $26.16 / $60.35	Facility		$18.86	$26.16	$60.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $26.01 / $34.07	Professional		$20.81	$26.01	$34.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.58 / $64.25 / $85.97	Facility		$40.58	$64.25	$85.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $26.52 / $51.69	Professional		$18.54	$26.52	$51.69
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $10.31 / $24.97	Professional		$8.74	$10.31	$24.97