Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.26 / $34.26 / $59.77	Facility		$34.26	$34.26	$59.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $13.33 / $13.74	Professional		$10.99	$13.33	$13.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.33 / $34.38 / $39.92	Facility		$22.33	$34.38	$39.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $13.73 / $19.62	Professional		$8.93	$13.73	$19.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $33.14 / $35.72	Professional		$13.74	$33.14	$35.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $13.74 / $28.66	Facility		$7.28	$13.74	$28.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $15.11 / $18.69	Professional		$13.74	$15.11	$18.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.74 / $15.53 / $24.05	Facility		$13.74	$15.53	$24.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $15.80 / $29.95	Facility		$7.28	$15.80	$29.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $15.11 / $19.23	Professional		$13.73	$15.11	$19.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.79 / $41.81 / $53.94	Facility		$26.79	$41.81	$53.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $21.22 / $33.64	Professional		$12.17	$21.22	$33.64
United Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $15.27	Professional		$5.77	$5.77	$15.27