Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.82 / $44.82 / $44.82	Facility		$44.82	$44.82	$44.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $17.44 / $35.06	Professional		$13.31	$17.44	$35.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.23 / $29.23 / $29.23	Facility		$29.23	$29.23	$29.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $23.53 / $32.31	Professional		$11.57	$23.53	$32.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $32.11 / $51.87	Professional		$17.98	$32.11	$51.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.31 / $18.88 / $1,303.24	Facility		$13.31	$18.88	$1,303.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $20.69 / $25.89	Professional		$17.98	$20.69	$25.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $17.98 / $27.60	Facility		$17.98	$17.98	$27.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $22.74 / $39.56	Facility		$16.89	$22.74	$39.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $21.76 / $28.76	Professional		$19.78	$21.76	$28.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35.96 / $35.96 / $62.93	Facility		$35.96	$35.96	$62.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $35.45 / $57.67	Professional		$31.72	$35.45	$57.67
United Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $17.98 / $55.92	Professional		$10.79	$17.98	$55.92