Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.91 / $59.91 / $59.91	Facility		$59.91	$59.91	$59.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $20.43 / $46.86	Professional		$12.64	$20.43	$46.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.04 / $39.04 / $39.04	Facility		$39.04	$39.04	$39.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $25.42 / $37.52	Professional		$8.11	$25.42	$37.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.03 / $42.44 / $68.54	Professional		$24.03	$42.44	$68.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $23.31 / $915.12	Facility		$17.78	$23.31	$915.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $24.03 / $32.44	Professional		$17.84	$24.03	$32.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.03 / $24.03 / $76.88	Facility		$24.03	$24.03	$76.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.62 / $29.08 / $39.04	Facility		$19.62	$29.08	$39.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $26.43 / $34.60	Professional		$20.19	$26.43	$34.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48.06 / $48.06 / $84.11	Facility		$48.06	$48.06	$84.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $47.04 / $76.90	Professional		$42.49	$47.04	$76.90
United Facility/Professional Professional Modifier Low / Median / High Price $14.42 / $24.03 / $74.73	Professional		$14.42	$24.03	$74.73