Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.31 / $41.60 / $56.86	Facility		$23.31	$41.60	$56.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $18.19 / $107.58	Professional		$15.50	$18.19	$107.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.13 / $47.18 / $57.61	Facility		$29.13	$47.18	$57.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $20.65 / $32.31	Professional		$11.01	$20.65	$32.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $43.38 / $46.80	Professional		$17.93	$43.38	$46.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $17.93 / $37.39	Facility		$14.88	$17.93	$37.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $17.93 / $24.21	Professional		$17.93	$17.93	$24.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $19.72 / $33.94	Facility		$17.93	$19.72	$33.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $21.52 / $52.00	Facility		$15.61	$21.52	$52.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $21.03 / $26.57	Professional		$17.93	$21.03	$26.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.96 / $55.35 / $74.08	Facility		$34.96	$55.35	$74.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $28.78 / $44.31	Professional		$15.93	$28.78	$44.31
United Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $9.30 / $21.52	Professional		$7.53	$9.30	$21.52