Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.85 / $31.35 / $107.99	Facility		$17.85	$31.35	$107.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $10.72 / $19.07	Professional		$9.89	$10.72	$19.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.30 / $34.34 / $39.86	Facility		$22.30	$34.34	$39.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $14.42 / $24.67	Professional		$6.04	$14.42	$24.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $33.14 / $35.72	Professional		$13.73	$33.14	$35.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $19.05 / $33.56	Facility		$10.00	$19.05	$33.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $13.73 / $18.54	Professional		$11.52	$13.73	$18.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $15.10 / $30.31	Facility		$13.73	$15.10	$30.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $16.61 / $36.13	Facility		$10.00	$16.61	$36.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $15.10 / $19.22	Professional		$10.93	$15.10	$19.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.77 / $41.78 / $56.72	Facility		$26.77	$41.78	$56.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $12.49 / $33.64	Professional		$8.65	$12.49	$33.64
United Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $5.77 / $16.48	Professional		$4.83	$5.77	$16.48