Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.27 / $66.73 / $320.45	Facility		$12.27	$66.73	$320.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $6.79 / $12.69	Professional		$6.30	$6.79	$12.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.75 / $22.28 / $30.36	Facility		$13.75	$22.28	$30.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $9.50 / $15.27	Professional		$6.04	$9.50	$15.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $20.50 / $22.14	Professional		$8.46	$20.50	$22.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.21 / $27.75 / $97.02	Facility		$8.21	$27.75	$97.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $9.40 / $13.87	Professional		$8.46	$9.40	$13.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.46 / $10.15 / $22.55	Facility		$8.46	$10.15	$22.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.85 / $10.24 / $24.53	Facility		$6.85	$10.24	$24.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $10.58 / $13.85	Professional		$8.46	$10.58	$13.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.50 / $26.10 / $34.95	Facility		$16.50	$26.10	$34.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $10.78 / $20.51	Professional		$7.53	$10.78	$20.51
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.83 / $11.95	Professional		$3.55	$4.83	$11.95