Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.19 / $44.89 / $54.18	Facility		$24.19	$44.89	$54.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $19.35 / $26.57	Professional		$17.28	$19.35	$26.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.45 / $50.95 / $69.47	Facility		$31.45	$50.95	$69.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $22.30 / $34.65	Professional		$13.85	$22.30	$34.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $47.34 / $51.07	Professional		$19.35	$47.34	$51.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $24.34 / $64.73	Facility		$17.54	$24.34	$64.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $23.22 / $38.94	Professional		$19.35	$23.22	$38.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $26.12 / $46.13	Facility		$19.35	$26.12	$46.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $24.34 / $56.12	Facility		$17.54	$24.34	$56.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $24.19 / $31.68	Professional		$19.35	$24.19	$31.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $59.73 / $79.94	Facility		$37.72	$59.73	$79.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $24.66 / $47.59	Professional		$17.38	$24.66	$47.59
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.06 / $23.22	Professional		$8.13	$11.06	$23.22