Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $45.83 / $76.55	Facility		$36.65	$45.83	$76.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $37.10 / $73.26	Professional		$36.74	$37.10	$73.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $62.23 / $73.28	Facility		$34.65	$62.23	$73.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $41.60	Professional		$36.74	$36.74	$41.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.59 / $81.02 / $104.68	Professional		$63.59	$81.02	$104.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $38.58 / $78.98	Facility		$36.65	$38.58	$78.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $42.25 / $47.76	Professional		$36.74	$42.25	$47.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $42.29 / $110.22	Facility		$36.65	$42.29	$110.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $43.83 / $73.48	Facility		$36.74	$43.83	$73.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $43.83 / $48.03	Professional		$36.74	$43.83	$48.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.36 / $47.04 / $123.52	Facility		$31.36	$47.04	$123.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $44.09	Professional		$36.74	$36.74	$44.09
United Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $42.25	Professional		$36.74	$36.74	$42.25