Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.48 / $26.07 / $68.84	Facility		$22.48	$26.07	$68.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $16.05 / $17.44	Professional		$13.29	$16.05	$17.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.23 / $47.34 / $64.54	Facility		$29.23	$47.34	$64.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $20.65 / $32.31	Professional		$12.96	$20.65	$32.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $44.17 / $47.66	Professional		$17.98	$44.17	$47.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $19.18 / $47.18	Facility		$15.33	$19.18	$47.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $21.58 / $30.45	Professional		$17.98	$21.58	$30.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $24.27 / $39.69	Facility		$17.98	$24.27	$39.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $21.76 / $52.14	Facility		$16.29	$21.76	$52.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $22.48 / $29.42	Professional		$17.98	$22.48	$29.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35.06 / $55.48 / $74.28	Facility		$35.06	$55.48	$74.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.91 / $44.31	Professional		$16.22	$22.91	$44.31
United Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $8.91 / $21.58	Professional		$7.55	$8.91	$21.58