Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.25 / $43.21 / $83.44	Facility		$37.25	$43.21	$83.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.46 / $25.33 / $58.11	Professional		$21.46	$25.33	$58.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.43 / $71.98 / $86.58	Facility		$48.43	$71.98	$86.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $31.53 / $53.46	Professional		$13.42	$31.53	$53.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $65.34 / $78.29	Professional		$29.80	$65.34	$78.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.82 / $40.22 / $67.23	Facility		$26.82	$40.22	$67.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $29.80 / $40.35	Professional		$28.40	$29.80	$40.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.80 / $32.78 / $62.58	Facility		$29.80	$32.78	$62.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.29 / $37.85 / $74.56	Facility		$31.29	$37.85	$74.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $34.27 / $42.91	Professional		$29.80	$34.27	$42.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.11 / $90.68 / $123.12	Facility		$58.11	$90.68	$123.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $58.52 / $93.79	Professional		$52.67	$58.52	$93.79
United Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $12.52 / $35.76	Professional		$11.46	$12.52	$35.76