Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.47 / $35.61 / $68.77	Facility		$29.47	$35.61	$68.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $23.82 / $50.39	Professional		$11.11	$23.82	$50.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.90 / $61.45 / $71.34	Facility		$39.90	$61.45	$71.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $25.80 / $44.06	Professional		$8.52	$25.80	$44.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $59.95 / $64.69	Professional		$24.56	$59.95	$64.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $24.56 / $51.21	Facility		$12.28	$24.56	$51.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $24.56 / $30.70	Professional		$16.32	$24.56	$30.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $27.02 / $54.22	Facility		$24.56	$27.02	$54.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $29.47 / $53.54	Facility		$17.89	$29.47	$53.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $27.02 / $34.38	Professional		$15.50	$27.02	$34.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.89 / $74.73 / $96.42	Facility		$47.89	$74.73	$96.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $22.35 / $60.72	Professional		$12.27	$22.35	$60.72
United Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $10.32 / $29.47	Professional		$6.85	$10.32	$29.47