Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.68 / $28.62 / $85.87	Facility		$24.68	$28.62	$85.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $17.89 / $23.62	Professional		$17.21	$17.89	$23.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.08 / $51.96 / $70.90	Facility		$32.08	$51.96	$70.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $22.72 / $35.25	Professional		$14.21	$22.72	$35.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $48.13 / $51.91	Professional		$19.73	$48.13	$51.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.91 / $21.07 / $60.66	Facility		$17.91	$21.07	$60.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $23.69 / $33.60	Professional		$19.73	$23.69	$33.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $26.65 / $43.58	Facility		$19.73	$26.65	$43.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.91 / $23.89 / $57.25	Facility		$17.91	$23.89	$57.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $23.69 / $32.33	Professional		$19.73	$23.69	$32.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.49 / $60.93 / $81.55	Facility		$38.49	$60.93	$81.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $25.16 / $48.41	Professional		$17.67	$25.16	$48.41
United Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $11.29 / $23.69	Professional		$8.28	$11.29	$23.69