Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $24.43 / $47.18	Facility		$20.22	$24.43	$47.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $17.39 / $24.43	Professional		$14.69	$17.39	$24.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $44.35 / $54.13	Facility		$27.38	$44.35	$54.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $19.41 / $29.96	Professional		$10.30	$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 $13.98 / $17.53 / $35.13	Facility		$13.98	$17.53	$35.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $16.85 / $22.75	Professional		$16.85	$16.85	$22.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $17.69 / $31.90	Facility		$16.85	$17.69	$31.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.53 / $20.22 / $48.87	Facility		$17.53	$20.22	$48.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $19.76 / $24.96	Professional		$16.85	$19.76	$24.96
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 / $27.04 / $41.85	Professional		$15.06	$27.04	$41.85
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.74 / $20.22	Professional		$7.08	$8.74	$20.22