Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.58 / $57.29 / $150.77	Facility		$25.58	$57.29	$150.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $19.85 / $28.09	Professional		$10.43	$19.85	$28.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.25 / $51.21 / $59.45	Facility		$33.25	$51.21	$59.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.39 / $21.63 / $36.42	Professional		$6.39	$21.63	$36.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $49.69 / $53.62	Professional		$20.46	$49.69	$53.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.82 / $20.46 / $42.68	Facility		$8.82	$20.46	$42.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $20.46 / $29.46	Professional		$12.40	$20.46	$29.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.46 / $23.11 / $45.17	Facility		$20.46	$23.11	$45.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $24.55 / $44.60	Facility		$14.90	$24.55	$44.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $22.51 / $28.64	Professional		$12.27	$22.51	$28.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $39.90 / $60.86 / $80.31	Facility		$39.90	$60.86	$80.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $18.62 / $50.05	Professional		$9.23	$18.62	$50.05
United Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $8.59 / $24.55	Professional		$5.15	$8.59	$24.55