Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.54 / $43.54 / $84.08	Facility		$37.54	$43.54	$84.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $23.99 / $58.56	Professional		$21.62	$23.99	$58.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.80 / $71.98 / $87.25	Facility		$48.80	$71.98	$87.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $31.90 / $54.05	Professional		$13.42	$31.90	$54.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $66.05 / $79.15	Professional		$30.03	$66.05	$79.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $40.54 / $67.23	Facility		$27.03	$40.54	$67.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $30.03 / $40.54	Professional		$28.40	$30.03	$40.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $33.03 / $66.29	Facility		$30.03	$33.03	$66.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.53 / $38.14 / $75.15	Facility		$31.53	$38.14	$75.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $34.53 / $43.24	Professional		$30.03	$34.53	$43.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.56 / $91.38 / $124.07	Facility		$58.56	$91.38	$124.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.27 / $59.20 / $94.86	Professional		$53.27	$59.20	$94.86
United Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $12.61 / $31.53	Professional		$11.46	$12.61	$31.53