Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.03 / $26.62 / $51.41	Facility		$22.03	$26.62	$51.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $17.80 / $89.11	Professional		$14.89	$17.80	$89.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.83 / $48.32 / $58.93	Facility		$29.83	$48.32	$58.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $21.06 / $32.90	Professional		$11.72	$21.06	$32.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $44.96 / $48.52	Professional		$18.36	$44.96	$48.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $19.86 / $51.22	Facility		$16.05	$19.86	$51.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $22.03 / $30.11	Professional		$18.36	$22.03	$30.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $22.03 / $40.53	Facility		$18.36	$22.03	$40.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $22.03 / $51.22	Facility		$18.36	$22.03	$51.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $21.21 / $26.87	Professional		$18.36	$21.21	$26.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $55.87 / $75.84	Facility		$35.79	$55.87	$75.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $20.93 / $45.13	Professional		$16.51	$20.93	$45.13
United Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $9.38 / $22.94	Professional		$7.71	$9.38	$22.94