Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $19.57 / $85.13	Facility		$19.57	$19.57	$85.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $15.26 / $19.57	Professional		$13.37	$15.26	$19.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.80 / $49.24 / $56.86	Facility		$31.80	$49.24	$56.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $10.54 / $25.78	Professional		$10.29	$10.54	$25.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $48.13 / $51.91	Professional		$19.57	$48.13	$51.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.78 / $19.57 / $41.39	Facility		$9.78	$19.57	$41.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $19.57 / $26.62	Professional		$18.85	$19.57	$26.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $20.55 / $79,999.20	Facility		$19.57	$20.55	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.25 / $23.48 / $45.65	Facility		$14.25	$23.48	$45.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $21.53 / $27.40	Professional		$15.92	$21.53	$27.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $59.55 / $80.84	Facility		$38.15	$59.55	$80.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $17.80 / $48.41	Professional		$14.00	$17.80	$48.41
United Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $8.22 / $23.48	Professional		$7.84	$8.22	$23.48