Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.68 / $44.10 / $50.36	Facility		$20.68	$44.10	$50.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $18.19 / $34.45	Professional		$14.34	$18.19	$34.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.26 / $36.26 / $36.26	Facility		$36.26	$36.26	$36.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $42.93 / $69.95	Professional		$22.31	$42.93	$69.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.04 / $43.16 / $55.52	Professional		$31.04	$43.16	$55.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.53 / $21.14 / $46.82	Facility		$15.53	$21.14	$46.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.27 / $38.86 / $68.09	Professional		$24.27	$38.86	$68.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.34 / $43.84 / $45.56	Facility		$27.34	$43.84	$45.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.53 / $21.14 / $51.57	Facility		$15.53	$21.14	$51.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.27 / $41.54 / $60.03	Professional		$23.27	$41.54	$60.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $27.25 / $56.68	Professional		$25.07	$27.25	$56.68
United Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $24.54 / $56.71	Professional		$22.09	$24.54	$56.71