Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.44 / $57.44 / $57.44	Facility		$57.44	$57.44	$57.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $19.57 / $44.93	Professional		$17.05	$19.57	$44.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.45 / $37.45 / $37.45	Facility		$37.45	$37.45	$37.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $26.18 / $41.12	Professional		$15.58	$26.18	$41.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $40.72 / $65.76	Professional		$23.04	$40.72	$65.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $24.19 / $1,755.22	Facility		$17.05	$24.19	$1,755.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $27.85 / $40.77	Professional		$23.04	$27.85	$40.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.04 / $23.04 / $87.13	Facility		$23.04	$23.04	$87.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.66 / $29.15 / $50.69	Facility		$21.66	$29.15	$50.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $27.65 / $34.56	Professional		$25.34	$27.65	$34.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $46.08 / $46.08 / $80.64	Facility		$46.08	$46.08	$80.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $45.59 / $73.69	Professional		$40.70	$45.59	$73.69
United Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $16.54 / $71.66	Professional		$13.82	$16.54	$71.66