Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.53 / $47.38 / $242.60	Facility		$25.53	$47.38	$242.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $19.80 / $29.61	Professional		$18.37	$19.80	$29.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.18 / $53.74 / $73.28	Facility		$33.18	$53.74	$73.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $23.54 / $36.42	Professional		$14.56	$23.54	$36.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $49.69 / $53.62	Professional		$20.42	$49.69	$53.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.51 / $25.68 / $68.06	Facility		$18.51	$25.68	$68.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $24.50 / $41.08	Professional		$20.42	$24.50	$41.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $27.57 / $46.13	Facility		$20.42	$27.57	$46.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.51 / $25.68 / $59.22	Facility		$18.51	$25.68	$59.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.53 / $33.42	Professional		$20.42	$25.53	$33.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $39.82 / $63.03 / $84.36	Facility		$39.82	$63.03	$84.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $26.02 / $50.05	Professional		$18.25	$26.02	$50.05
United Facility/Professional Facility Modifier Low / Median / High Price $12.84 / $12.84 / $20.42	Facility		$12.84	$12.84	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $8.58 / $24.50	Professional		$8.58	$8.58	$24.50