Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.87 / $56.87 / $56.87	Facility		$56.87	$56.87	$56.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $23.42 / $30.05	Professional		$18.91	$23.42	$30.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.43 / $39.43 / $39.43	Facility		$39.43	$39.43	$39.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $34.04 / $46.26	Professional		$11.07	$34.04	$46.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $49.57 / $70.65	Professional		$23.93	$49.57	$70.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $32.31 / $78.02	Facility		$14.58	$32.31	$78.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $43.91 / $79.56	Professional		$36.15	$43.91	$79.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $48.24 / $59.63	Facility		$37.04	$48.24	$59.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $53.03 / $69.84	Facility		$20.23	$53.03	$69.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $44.88 / $67.31	Professional		$28.37	$44.88	$67.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $44.23 / $76.90	Professional		$40.70	$44.23	$76.90
United Facility/Professional Professional Modifier Low / Median / High Price $15.81 / $24.19 / $71.66	Professional		$15.81	$24.19	$71.66