Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.43 / $50.25 / $109.92	Facility		$24.43	$50.25	$109.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $15.16 / $20.14	Professional		$12.06	$15.16	$20.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $44.35 / $60.49	Facility		$27.38	$44.35	$60.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $19.41 / $29.96	Professional		$12.08	$19.41	$29.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $41.01 / $44.25	Professional		$16.85	$41.01	$44.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.27 / $21.19 / $55.61	Facility		$15.27	$21.19	$55.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $19.38 / $27.74	Professional		$16.85	$19.38	$27.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $21.06 / $37.20	Facility		$16.85	$21.06	$37.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.27 / $21.19 / $48.87	Facility		$15.27	$21.19	$48.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $20.22 / $27.58	Professional		$16.85	$20.22	$27.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.86 / $52.00 / $69.61	Facility		$32.86	$52.00	$69.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $21.47 / $41.85	Professional		$15.06	$21.47	$41.85
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.63 / $20.22	Professional		$7.08	$9.63	$20.22