Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.68 / $37.08 / $71.59	Facility		$30.68	$37.08	$71.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $24.80 / $106.43	Professional		$23.47	$24.80	$106.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.55 / $67.31 / $74.29	Facility		$41.55	$67.31	$74.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $26.94 / $45.82	Professional		$14.03	$26.94	$45.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $62.33 / $67.23	Professional		$25.57	$62.33	$67.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $25.57 / $65.56	Facility		$18.62	$25.57	$65.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $26.73 / $34.52	Professional		$25.57	$26.73	$34.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.57 / $28.89 / $136.18	Facility		$25.57	$28.89	$136.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $30.68 / $70.09	Facility		$18.62	$30.68	$70.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $28.13 / $35.79	Professional		$25.37	$28.13	$35.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49.86 / $77.81 / $105.64	Facility		$49.86	$77.81	$105.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $25.01 / $63.18	Professional		$20.05	$25.01	$63.18
United Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $11.21 / $30.68	Professional		$10.74	$11.21	$30.68