Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.11 / $39.57 / $76.41	Facility		$34.11	$39.57	$76.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $23.99 / $53.22	Professional		$19.64	$23.99	$53.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.35 / $68.30 / $79.30	Facility		$44.35	$68.30	$79.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $28.93 / $51.00	Professional		$13.42	$28.93	$51.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $59.66 / $71.48	Professional		$27.29	$59.66	$71.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $37.83 / $67.23	Facility		$24.56	$37.83	$67.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $32.75 / $40.35	Professional		$27.29	$32.75	$40.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.29 / $30.83 / $60.24	Facility		$27.29	$30.83	$60.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $36.84 / $71.84	Facility		$28.65	$36.84	$71.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $31.38 / $39.29	Professional		$28.84	$31.38	$39.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $53.22 / $83.04 / $112.75	Facility		$53.22	$83.04	$112.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.48 / $53.76 / $86.33	Professional		$48.48	$53.76	$86.33
United Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $11.46 / $28.65	Professional		$11.46	$11.46	$28.65