Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $64.81 / $96.90	Facility		$22.39	$64.81	$96.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $16.05 / $17.98	Professional		$11.69	$16.05	$17.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.23 / $47.34 / $64.54	Facility		$29.23	$47.34	$64.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $20.65 / $32.31	Professional		$12.96	$20.65	$32.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $44.17 / $47.66	Professional		$17.98	$44.17	$47.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $24.94 / $60.59	Facility		$16.29	$24.94	$60.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $20.68 / $25.89	Professional		$17.98	$20.68	$25.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $18.88 / $39.69	Facility		$17.98	$18.88	$39.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $21.58 / $52.14	Facility		$16.29	$21.58	$52.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $22.48 / $29.42	Professional		$17.98	$22.48	$29.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35.06 / $55.48 / $74.28	Facility		$35.06	$55.48	$74.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.91 / $44.31	Professional		$16.22	$22.91	$44.31
United Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $10.27 / $21.58	Professional		$7.55	$10.27	$21.58