Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $26.92	Professional		$19.95	$23.99	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $46.77 / $77.62	Professional		$26.92	$46.77	$77.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $26.92 / $60.26	Facility		$24.55	$26.92	$60.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $36.31 / $38.90	Professional		$25.70	$36.31	$38.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $38.02	Facility		$26.92	$26.92	$38.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $36.31 / $58.88	Facility		$20.42	$36.31	$58.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $26.92 / $38.90	Professional		$14.45	$26.92	$38.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $95.50	Facility		$53.70	$53.70	$95.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $22.91 / $32.36	Professional		$21.38	$22.91	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $38.02	Professional		$11.48	$11.48	$38.02