Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $63.66 / $138.44	Facility		$21.53	$63.66	$138.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $9.93 / $26.78	Professional		$8.69	$9.93	$26.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.75 / $35.24 / $46.73	Facility		$21.75	$35.24	$46.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.01 / $15.28 / $24.09	Professional		$10.01	$15.28	$24.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $32.35 / $34.90	Professional		$13.39	$32.35	$34.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $44.25 / $110.40	Facility		$12.99	$44.25	$110.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $15.40 / $29.40	Professional		$13.39	$15.40	$29.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.39 / $25.35 / $145.00	Facility		$13.39	$25.35	$145.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.75 / $16.94 / $38.83	Facility		$9.75	$16.94	$38.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $16.73 / $21.92	Professional		$13.39	$16.73	$21.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.11 / $41.33 / $55.32	Facility		$26.11	$41.33	$55.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $17.07 / $32.82	Professional		$11.87	$17.07	$32.82
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.65 / $18.41	Professional		$5.62	$7.65	$18.41