Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.05 / $66.05 / $66.05	Facility		$66.05	$66.05	$66.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $24.02 / $26.49	Professional		$14.04	$24.02	$26.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.05 / $43.05 / $43.05	Facility		$43.05	$43.05	$43.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $13.93 / $13.93	Professional		$13.93	$13.93	$13.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $47.04 / $75.97	Professional		$26.49	$47.04	$75.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.60 / $35.76 / $2,294.62	Facility		$19.60	$35.76	$2,294.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $35.76 / $53.29	Professional		$26.49	$35.76	$53.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.49 / $26.49 / $39.74	Facility		$26.49	$26.49	$39.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.87 / $33.64 / $79.45	Facility		$19.87	$33.64	$79.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.93 / $29.14 / $41.22	Professional		$13.93	$29.14	$41.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.98 / $52.98 / $92.72	Facility		$52.98	$52.98	$92.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.24 / $52.40 / $83.92	Professional		$42.24	$52.40	$83.92
United Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $11.13 / $37.09	Professional		$11.13	$11.13	$37.09