Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.60 / $38.97 / $75.26	Facility		$33.60	$38.97	$75.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $23.99 / $52.42	Professional		$19.35	$23.99	$52.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.68 / $67.26 / $78.09	Facility		$43.68	$67.26	$78.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $28.56 / $51.00	Professional		$13.42	$28.56	$51.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $58.94 / $70.63	Professional		$26.88	$58.94	$70.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.19 / $37.28 / $67.23	Facility		$24.19	$37.28	$67.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $27.57 / $38.71	Professional		$26.88	$27.57	$38.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.88 / $29.57 / $59.34	Facility		$26.88	$29.57	$59.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.22 / $36.29 / $70.75	Facility		$28.22	$36.29	$70.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $30.91 / $38.71	Professional		$28.46	$30.91	$38.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.42 / $81.80 / $111.05	Facility		$52.42	$81.80	$111.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $53.08 / $84.20	Professional		$47.28	$53.08	$84.20
United Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $11.29 / $28.22	Professional		$11.29	$11.29	$28.22