Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.96 / $45.80 / $121.38	Facility		$22.96	$45.80	$121.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $16.66 / $23.27	Professional		$16.37	$16.66	$23.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.85 / $48.36 / $65.95	Facility		$29.85	$48.36	$65.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.14 / $21.06 / $32.90	Professional		$13.14	$21.06	$32.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $44.96 / $48.52	Professional		$18.37	$44.96	$48.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.66 / $23.09 / $61.42	Facility		$16.66	$23.09	$61.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $22.04 / $36.95	Professional		$18.37	$22.04	$36.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.37 / $24.95 / $54.33	Facility		$18.37	$24.95	$54.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.66 / $23.09 / $53.27	Facility		$16.66	$23.09	$53.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $22.04 / $30.07	Professional		$18.37	$22.04	$30.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35.82 / $56.70 / $75.89	Facility		$35.82	$56.70	$75.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $23.42 / $45.13	Professional		$16.51	$23.42	$45.13
United Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $10.50 / $25.95	Professional		$7.72	$10.50	$25.95