Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.80 / $38.89 / $129.69	Facility		$20.80	$38.89	$129.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $14.85 / $30.34	Professional		$12.77	$14.85	$30.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.68 / $44.83 / $61.18	Facility		$27.68	$44.83	$61.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $19.82 / $30.55	Professional		$12.25	$19.82	$30.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $41.80 / $45.11	Professional		$17.03	$41.80	$45.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.85 / $21.42 / $56.44	Facility		$14.85	$21.42	$56.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $19.57 / $27.93	Professional		$17.03	$19.57	$27.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $22.50 / $37.59	Facility		$17.03	$22.50	$37.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.85 / $21.42 / $49.39	Facility		$14.85	$21.42	$49.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $21.29 / $27.89	Professional		$17.03	$21.29	$27.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.21 / $52.55 / $70.36	Facility		$33.21	$52.55	$70.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $21.71 / $41.85	Professional		$15.35	$21.71	$41.85
United Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $8.44 / $20.44	Professional		$7.15	$8.44	$20.44