Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.49 / $28.41 / $85.22	Facility		$24.49	$28.41	$85.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $113.75	Professional		$19.00	$19.00	$113.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.83 / $51.56 / $75.30	Facility		$31.83	$51.56	$75.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $22.72 / $35.25	Professional		$15.10	$22.72	$35.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $48.13 / $51.91	Professional		$19.59	$48.13	$51.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.38 / $26.37 / $109.69	Facility		$10.38	$26.37	$109.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $22.53 / $34.51	Professional		$19.59	$22.53	$34.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.59 / $23.51 / $64.58	Facility		$19.59	$23.51	$64.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.38 / $24.78 / $56.90	Facility		$10.38	$24.78	$56.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $23.51 / $34.33	Professional		$19.59	$23.51	$34.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.20 / $60.45 / $80.93	Facility		$38.20	$60.45	$80.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $26.73 / $48.41	Professional		$17.67	$26.73	$48.41
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $11.75 / $23.51	Professional		$8.23	$11.75	$23.51