Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $28.42 / $54.88	Facility		$23.52	$28.42	$54.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $22.87 / $28.42	Professional		$17.42	$22.87	$28.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.85 / $51.60 / $70.33	Facility		$31.85	$51.60	$70.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $22.72 / $35.25	Professional		$14.03	$22.72	$35.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $48.13 / $51.91	Professional		$19.60	$48.13	$51.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $20.91 / $62.00	Facility		$17.76	$20.91	$62.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $23.52 / $32.27	Professional		$19.60	$23.52	$32.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.60 / $26.46 / $43.27	Facility		$19.60	$26.46	$43.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $23.72 / $56.84	Facility		$17.76	$23.72	$56.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $24.50 / $32.08	Professional		$19.60	$24.50	$32.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $60.48 / $80.98	Facility		$38.22	$60.48	$80.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $24.98 / $48.41	Professional		$17.67	$24.98	$48.41
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $11.20 / $23.52	Professional		$8.23	$11.20	$23.52