Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $30.90 / $61.66	Facility		$23.44	$30.90	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.05 / $39.81	Professional		$10.00	$19.05	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $27.54 / $57.54	Professional		$14.45	$27.54	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $36.31 / $61.66	Professional		$20.89	$36.31	$61.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $24.55 / $45.71	Facility		$12.30	$24.55	$45.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $32.36 / $58.88	Professional		$18.62	$32.36	$58.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $40.74 / $50.12	Facility		$29.51	$40.74	$50.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $23.44 / $45.71	Facility		$12.02	$23.44	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.02 / $75.86	Professional		$22.39	$38.02	$75.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $57.54 / $104.71	Facility		$43.65	$57.54	$104.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $34.67 / $58.88	Professional		$21.38	$34.67	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $29.51 / $54.95	Professional		$16.98	$29.51	$54.95