Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.63 / $24.93 / $48.13	Facility		$20.63	$24.93	$48.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $16.67 / $24.75	Professional		$14.99	$16.67	$24.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.93 / $45.24 / $61.76	Facility		$27.93	$45.24	$61.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $19.82 / $30.55	Professional		$12.25	$19.82	$30.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $41.80 / $45.11	Professional		$17.19	$41.80	$45.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $18.34 / $49.88	Facility		$15.60	$18.34	$49.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $20.63 / $28.32	Professional		$17.19	$20.63	$28.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.19 / $23.21 / $37.95	Facility		$17.19	$23.21	$37.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $20.80 / $49.85	Facility		$15.60	$20.80	$49.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $20.63 / $28.15	Professional		$17.19	$20.63	$28.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.52 / $53.05 / $71.02	Facility		$33.52	$53.05	$71.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $21.92 / $42.67	Professional		$15.35	$21.92	$42.67
United Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $9.83 / $24.02	Professional		$7.22	$9.83	$24.02