Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.06 / $29.07 / $56.14	Facility		$25.06	$29.07	$56.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $23.19 / $39.10	Professional		$17.82	$23.19	$39.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.58 / $50.17 / $71.98	Facility		$32.58	$50.17	$71.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $26.18 / $35.83	Professional		$14.39	$26.18	$35.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $48.90 / $52.77	Professional		$20.05	$48.90	$52.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $25.22 / $60.14	Facility		$16.64	$25.22	$60.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $23.06 / $33.01	Professional		$20.05	$23.06	$33.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $24.06 / $44.26	Facility		$20.05	$24.06	$44.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $25.36 / $58.15	Facility		$18.18	$25.36	$58.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $25.06 / $32.83	Professional		$22.06	$25.06	$32.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $39.10 / $61.90 / $82.83	Facility		$39.10	$61.90	$82.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $37.17 / $53.70	Professional		$18.25	$37.17	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $11.46 / $24.06	Professional		$8.42	$11.46	$24.06