Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.03 / $37.03 / $64.64	Facility		$37.03	$37.03	$64.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $12.63 / $14.41	Professional		$10.70	$12.63	$14.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.15 / $24.15 / $43.18	Facility		$24.15	$24.15	$43.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $11.89	Professional		$11.89	$11.89	$11.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $32.67 / $39.14	Professional		$14.86	$32.67	$39.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.15 / $14.41 / $32.69	Facility		$11.15	$14.41	$32.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $14.86 / $20.05	Professional		$14.86	$14.86	$20.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.86 / $16.64 / $26.01	Facility		$14.86	$16.64	$26.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.37 / $18.87 / $35.69	Facility		$13.37	$18.87	$35.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $16.35 / $20.80	Professional		$16.35	$16.35	$20.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.72 / $45.22 / $58.34	Facility		$29.72	$45.22	$58.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.83 / $29.26 / $46.90	Professional		$23.83	$29.26	$46.90
United Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $6.24 / $15.60	Professional		$6.24	$6.24	$15.60