Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.77 / $41.49 / $53.54	Facility		$30.77	$41.49	$53.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $30.77 / $53.54	Professional		$25.46	$30.77	$53.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.02 / $46.50 / $65.02	Facility		$24.02	$46.50	$65.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $27.62	Professional		$25.46	$25.46	$27.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $67.47 / $86.81	Professional		$25.46	$67.47	$86.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $36.40 / $54.74	Facility		$25.46	$36.40	$54.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $26.98 / $33.10	Professional		$25.46	$26.98	$33.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $33.38 / $76.38	Facility		$25.46	$33.38	$76.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $46.50 / $68.68	Facility		$25.46	$46.50	$68.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.11 / $30.03 / $42.93	Professional		$21.11	$30.03	$42.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.91 / $53.95 / $109.15	Facility		$31.91	$53.95	$109.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $25.46	Professional		$25.46	$25.46	$25.46
United Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $25.46	Professional		$25.46	$25.46	$25.46