Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $59.05 / $111.50	Facility		$30.54	$59.05	$111.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $20.84 / $25.45	Professional		$10.34	$20.84	$25.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.35 / $63.68 / $73.93	Facility		$41.35	$63.68	$73.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $29.32 / $45.82	Professional		$14.25	$29.32	$45.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $62.33 / $67.23	Professional		$25.45	$62.33	$67.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $27.16 / $62.31	Facility		$10.50	$27.16	$62.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $29.27 / $34.61	Professional		$25.45	$29.27	$34.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $28.00 / $38.18	Facility		$25.45	$28.00	$38.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $30.54 / $65.56	Facility		$10.50	$30.54	$65.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $28.00 / $35.63	Professional		$24.18	$28.00	$35.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49.63 / $77.44 / $105.14	Facility		$49.63	$77.44	$105.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22.88 / $30.51 / $62.36	Professional		$22.88	$30.51	$62.36
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $10.69 / $30.54	Professional		$10.69	$10.69	$30.54