Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.64 / $39.02 / $75.34	Facility		$33.64	$39.02	$75.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $22.87 / $79.92	Professional		$19.38	$22.87	$79.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.73 / $67.34 / $78.18	Facility		$43.73	$67.34	$78.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $28.56 / $48.48	Professional		$12.73	$28.56	$48.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $58.94 / $70.63	Professional		$26.91	$58.94	$70.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.22 / $36.33 / $63.91	Facility		$24.22	$36.33	$63.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $32.09 / $38.22	Professional		$26.11	$32.09	$38.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.91 / $29.60 / $59.40	Facility		$26.91	$29.60	$59.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.26 / $35.65 / $68.23	Facility		$28.26	$35.65	$68.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $30.95 / $38.75	Professional		$27.36	$30.95	$38.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.47 / $81.89 / $111.18	Facility		$52.47	$81.89	$111.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $53.08 / $84.20	Professional		$47.28	$53.08	$84.20
United Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $16.14 / $83.70	Professional		$15.55	$16.14	$83.70