Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $40.79 / $128.66	Facility		$22.31	$40.79	$128.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $16.64 / $24.88	Professional		$9.75	$16.64	$24.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.88 / $45.16 / $61.62	Facility		$27.88	$45.16	$61.62
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 $17.16 / $41.80 / $45.11	Professional		$17.16	$41.80	$45.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.55 / $21.91 / $57.27	Facility		$15.55	$21.91	$57.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $19.73 / $24.36	Professional		$17.16	$19.73	$24.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.16 / $20.59 / $37.88	Facility		$17.16	$20.59	$37.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.55 / $21.58 / $49.76	Facility		$15.55	$21.58	$49.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $20.59 / $28.09	Professional		$17.16	$20.59	$28.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.46 / $52.98 / $70.89	Facility		$33.46	$52.98	$70.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $21.88 / $42.67	Professional		$15.35	$21.88	$42.67
United Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $9.81 / $20.76	Professional		$7.21	$9.81	$20.76