Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.72 / $27.45 / $53.00	Facility		$22.72	$27.45	$53.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $18.36 / $102.75	Professional		$16.87	$18.36	$102.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $49.82 / $68.01	Facility		$30.75	$49.82	$68.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $21.89 / $34.07	Professional		$13.68	$21.89	$34.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $46.55 / $50.21	Professional		$18.93	$46.55	$50.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $23.81 / $63.08	Facility		$18.36	$23.81	$63.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $22.72 / $38.10	Professional		$18.93	$22.72	$38.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.93 / $25.56 / $48.18	Facility		$18.93	$25.56	$48.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.93 / $23.81 / $54.90	Facility		$18.93	$23.81	$54.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $22.72 / $31.01	Professional		$18.93	$22.72	$31.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $58.43 / $78.20	Facility		$36.90	$58.43	$78.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.09 / $24.15 / $46.77	Professional		$17.09	$24.15	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $10.82 / $22.72	Professional		$7.95	$10.82	$22.72