Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $79.43	Facility		$64.57	$64.57	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $32.36	Professional		$12.88	$15.85	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $19.95 / $35.48	Professional		$11.22	$19.95	$35.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $30.90 / $51.29	Professional		$17.78	$30.90	$51.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $39.81	Facility		$17.78	$17.78	$39.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $19.95 / $25.70	Professional		$17.78	$19.95	$25.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $26.92	Facility		$17.78	$17.78	$26.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $25.12 / $40.74	Facility		$16.22	$25.12	$40.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.39 / $35.48	Professional		$17.78	$22.39	$35.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $63.10	Facility		$36.31	$36.31	$63.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $21.38	Professional		$14.13	$15.14	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $17.78 / $56.23	Professional		$10.72	$17.78	$56.23