Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.19 / $30.68 / $46.68	Facility		$23.19	$30.68	$46.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $22.13 / $43.89	Professional		$11.63	$22.13	$43.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $16.57 / $16.57	Facility		$16.57	$16.57	$16.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $32.97 / $66.73	Professional		$18.85	$32.97	$66.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.49 / $34.51 / $61.83	Professional		$23.49	$34.51	$61.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $30.02 / $51.85	Facility		$17.48	$30.02	$51.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $34.77 / $59.85	Professional		$19.75	$34.77	$59.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.12 / $40.68 / $50.25	Facility		$24.12	$40.68	$50.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $30.92 / $62.75	Facility		$17.48	$30.92	$62.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $36.21 / $63.56	Professional		$23.68	$36.21	$63.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.56 / $77.34 / $103.97	Facility		$43.56	$77.34	$103.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.65 / $37.13 / $66.41	Professional		$21.65	$37.13	$66.41
United Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $46.14 / $76.56	Professional		$31.90	$46.14	$76.56