Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $58.88 / $67.61	Facility		$21.88	$58.88	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.88 / $69.18	Professional		$15.14	$21.88	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $75.86 / $107.15	Facility		$50.12	$75.86	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $40.74 / $66.07	Professional		$25.12	$40.74	$66.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $50.12 / $61.66	Professional		$37.15	$50.12	$61.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $26.30 / $54.95	Facility		$18.62	$26.30	$54.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $41.69 / $57.54	Professional		$26.30	$41.69	$57.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $45.71 / $48.98	Facility		$37.15	$45.71	$48.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $28.18 / $57.54	Facility		$16.98	$28.18	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $51.29 / $79.43	Professional		$27.54	$51.29	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $58.88 / $97.72	Facility		$36.31	$58.88	$97.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $32.36 / $63.10	Professional		$26.30	$32.36	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $38.90	Facility		$26.30	$26.30	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $42.66 / $63.10	Professional		$24.55	$42.66	$63.10