Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.46 / $48.00 / $106.01	Facility		$30.46	$48.00	$106.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.09 / $23.64 / $35.34	Professional		$21.09	$23.64	$35.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.60 / $64.15 / $87.51	Facility		$39.60	$64.15	$87.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $28.08 / $43.47	Professional		$17.39	$28.08	$43.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $59.16 / $63.83	Professional		$24.37	$59.16	$63.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $26.00 / $76.84	Facility		$21.25	$26.00	$76.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $28.03 / $49.03	Professional		$24.37	$28.03	$49.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.37 / $32.90 / $53.80	Facility		$24.37	$32.90	$53.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $29.49 / $70.67	Facility		$21.25	$29.49	$70.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $29.24 / $39.90	Professional		$24.37	$29.24	$39.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.52 / $75.23 / $100.68	Facility		$47.52	$75.23	$100.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $31.07 / $59.90	Professional		$21.73	$31.07	$59.90
United Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $13.93 / $29.24	Professional		$10.24	$13.93	$29.24