Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.85 / $71.06 / $163.56	Facility		$20.85	$71.06	$163.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $12.94 / $18.22	Professional		$12.53	$12.94	$18.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.38 / $37.86 / $51.63	Facility		$23.38	$37.86	$51.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $16.52 / $25.85	Professional		$10.30	$16.52	$25.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $34.70 / $37.45	Professional		$14.38	$34.70	$37.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.03 / $15.08 / $36.75	Facility		$13.03	$15.08	$36.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $16.35 / $20.26	Professional		$14.38	$16.35	$20.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $19.41 / $31.74	Facility		$14.38	$19.41	$31.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.04 / $17.26 / $41.70	Facility		$13.04	$17.26	$41.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $16.32 / $20.56	Professional		$14.38	$16.32	$20.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.04 / $44.40 / $59.41	Facility		$28.04	$44.40	$59.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $15.29 / $35.28	Professional		$12.26	$15.29	$35.28
United Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $8.22 / $17.26	Professional		$6.04	$8.22	$17.26