Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.11 / $31.55 / $60.93	Facility		$26.11	$31.55	$60.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $21.11 / $32.64	Professional		$11.10	$21.11	$32.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.35 / $54.44 / $63.21	Facility		$35.35	$54.44	$63.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $22.77 / $38.77	Professional		$8.52	$22.77	$38.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $52.85 / $57.01	Professional		$21.76	$52.85	$57.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $21.76 / $45.39	Facility		$10.88	$21.76	$45.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $21.76 / $27.20	Professional		$16.32	$21.76	$27.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $23.94 / $48.04	Facility		$21.76	$23.94	$48.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $26.11 / $54.44	Facility		$10.88	$26.11	$54.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $23.94 / $30.46	Professional		$15.50	$23.94	$30.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42.43 / $66.22 / $85.43	Facility		$42.43	$66.22	$85.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $19.80 / $53.33	Professional		$12.27	$19.80	$53.33
United Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $9.14 / $21.76	Professional		$6.86	$9.14	$21.76