Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.38 / $41.50 / $89.76	Facility		$24.38	$41.50	$89.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $16.67 / $23.76	Professional		$15.72	$16.67	$23.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.48 / $49.37 / $67.34	Facility		$30.48	$49.37	$67.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $21.48 / $33.49	Professional		$13.50	$21.48	$33.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $45.75 / $49.35	Professional		$18.75	$45.75	$49.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.36 / $22.75 / $63.08	Facility		$16.36	$22.75	$63.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $21.56 / $37.74	Professional		$18.75	$21.56	$37.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $22.50 / $43.05	Facility		$18.75	$22.50	$43.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.36 / $22.75 / $54.38	Facility		$16.36	$22.75	$54.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $22.50 / $30.71	Professional		$18.75	$22.50	$30.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.56 / $57.88 / $77.45	Facility		$36.56	$57.88	$77.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $23.91 / $45.95	Professional		$16.80	$23.91	$45.95
United Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $10.72 / $22.50	Professional		$7.88	$10.72	$22.50