Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.74 / $33.74 / $33.74	Facility		$33.74	$33.74	$33.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $24.77 / $48.29	Professional		$19.29	$24.77	$48.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.70 / $24.70 / $24.70	Facility		$24.70	$24.70	$24.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $28.23 / $42.73	Professional		$9.88	$28.23	$42.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $57.25 / $81.59	Professional		$27.64	$57.25	$81.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $30.28 / $60.81	Facility		$17.80	$30.28	$60.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.35 / $46.43 / $92.30	Professional		$31.35	$46.43	$92.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.92 / $47.30 / $57.62	Facility		$29.92	$47.30	$57.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.70 / $61.18 / $83.42	Facility		$24.70	$61.18	$83.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $53.76 / $78.97	Professional		$28.23	$53.76	$78.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $203.33 / $203.33 / $204.49	Facility		$203.33	$203.33	$204.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $53.76 / $91.85	Professional		$50.27	$53.76	$91.85
United Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $29.89 / $88.55	Professional		$16.23	$29.89	$88.55