Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $70.79	Facility		$57.54	$57.54	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $30.20	Professional		$12.02	$15.14	$30.20
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 $10.23 / $19.95 / $34.67	Professional		$10.23	$19.95	$34.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $30.90 / $51.29	Professional		$18.62	$30.90	$51.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $23.99 / $57.54	Facility		$14.45	$23.99	$57.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.39 / $30.90	Professional		$16.98	$22.39	$30.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $38.90	Facility		$17.78	$17.78	$38.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $24.55 / $40.74	Facility		$14.45	$24.55	$40.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $34.67	Professional		$15.85	$22.91	$34.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $60.26	Facility		$34.67	$34.67	$60.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.85 / $22.39	Professional		$14.45	$15.85	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.85 / $53.70	Professional		$9.55	$15.85	$53.70