Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $70.40 / $129.72	Facility		$25.55	$70.40	$129.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $14.32 / $22.53	Professional		$11.93	$14.32	$22.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.85 / $41.88 / $57.14	Facility		$25.85	$41.88	$57.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $18.17 / $28.79	Professional		$11.37	$18.17	$28.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $38.65 / $41.70	Professional		$15.91	$38.65	$41.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $20.00 / $58.00	Facility		$14.42	$20.00	$58.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $18.30 / $26.25	Professional		$15.91	$18.30	$26.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.91 / $21.48 / $35.11	Facility		$15.91	$21.48	$35.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.42 / $19.25 / $46.14	Facility		$14.42	$19.25	$46.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $19.09 / $26.04	Professional		$15.91	$19.09	$26.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.02 / $49.10 / $65.73	Facility		$31.02	$49.10	$65.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $20.28 / $39.38	Professional		$14.19	$20.28	$39.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $9.09 / $22.48	Professional		$6.68	$9.09	$22.48