Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.95 / $40.95 / $68.23	Facility		$22.95	$40.95	$68.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $17.12 / $113.49	Professional		$15.76	$17.12	$113.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $46.45 / $63.37	Facility		$28.68	$46.45	$63.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $20.65 / $31.72	Professional		$12.61	$20.65	$31.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $43.38 / $46.80	Professional		$17.64	$43.38	$46.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.98 / $20.13 / $58.10	Facility		$15.98	$20.13	$58.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $20.30 / $32.21	Professional		$17.64	$20.30	$32.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $23.83 / $44.08	Facility		$17.64	$23.83	$44.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $21.36 / $51.19	Facility		$16.00	$21.36	$51.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $20.71 / $26.22	Professional		$17.64	$20.71	$26.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.42 / $54.48 / $72.92	Facility		$34.42	$54.48	$72.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $20.42 / $43.49	Professional		$15.93	$20.42	$43.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.08 / $21.18	Professional		$7.41	$10.08	$21.18