Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.76 / $26.69 / $43.40	Facility		$19.76	$26.69	$43.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $21.70 / $41.13	Professional		$20.28	$21.70	$41.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $39.94 / $52.80	Facility		$20.47	$39.94	$52.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $26.61	Professional		$21.70	$21.70	$26.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $45.74 / $67.63	Professional		$34.32	$45.74	$67.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.76 / $23.87 / $88.53	Facility		$19.76	$23.87	$88.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $23.87 / $28.21	Professional		$21.70	$23.87	$28.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.76 / $24.70 / $65.09	Facility		$19.76	$24.70	$65.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $29.40 / $88.44	Facility		$21.70	$29.40	$88.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $30.55 / $39.54	Professional		$21.70	$30.55	$39.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42.30 / $69.17 / $147.72	Facility		$42.30	$69.17	$147.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $23.87	Professional		$21.70	$21.70	$23.87
United Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $24.96	Professional		$21.70	$21.70	$24.96