Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.89 / $39.89 / $69.59	Facility		$39.89	$39.89	$69.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $15.52 / $15.52	Professional		$11.52	$15.52	$15.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $40.04 / $46.49	Facility		$26.00	$40.04	$46.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $16.00 / $22.72	Professional		$12.80	$16.00	$22.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $38.65 / $41.70	Professional		$16.00	$38.65	$41.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.48 / $16.00 / $33.36	Facility		$8.48	$16.00	$33.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $21.76	Professional		$16.00	$16.00	$21.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $18.07 / $28.00	Facility		$16.00	$18.07	$28.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.52 / $18.39 / $34.88	Facility		$10.52	$18.39	$34.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $17.60 / $22.40	Professional		$15.20	$17.60	$22.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.20 / $48.69 / $62.81	Facility		$31.20	$48.69	$62.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $18.92 / $39.38	Professional		$14.19	$18.92	$39.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $6.72 / $19.20	Professional		$6.72	$6.72	$19.20