Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $47.88 / $263.19	Facility		$12.59	$47.88	$263.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $7.81 / $53.38	Professional		$6.56	$7.81	$53.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $22.84 / $31.18	Facility		$14.10	$22.84	$31.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $9.91 / $15.86	Professional		$6.22	$9.91	$15.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $21.29 / $22.97	Professional		$8.68	$21.29	$22.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.02 / $12.04 / $36.75	Facility		$7.02	$12.04	$36.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $9.98 / $14.29	Professional		$8.68	$9.98	$14.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.68 / $10.42 / $25.63	Facility		$8.68	$10.42	$25.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.02 / $10.50 / $25.17	Facility		$7.02	$10.50	$25.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $10.85 / $14.22	Professional		$8.68	$10.85	$14.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.93 / $26.80 / $35.86	Facility		$16.93	$26.80	$35.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $11.07 / $21.33	Professional		$7.82	$11.07	$21.33
United Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $3.65 / $10.42	Professional		$3.65	$3.65	$10.42