Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.10 / $21.87 / $42.22	Facility		$18.10	$21.87	$42.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $14.63 / $81.79	Professional		$13.44	$14.63	$81.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $39.69 / $54.10	Facility		$24.50	$39.69	$54.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $17.35 / $27.02	Professional		$10.83	$17.35	$27.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $37.07 / $40.00	Professional		$15.08	$37.07	$40.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.14 / $18.95 / $50.63	Facility		$13.14	$18.95	$50.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $18.10 / $30.33	Professional		$15.08	$18.10	$30.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.08 / $19.60 / $37.93	Facility		$15.08	$19.60	$37.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.14 / $18.95 / $43.73	Facility		$13.14	$18.95	$43.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $18.10 / $24.67	Professional		$15.08	$18.10	$24.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.41 / $46.53 / $62.30	Facility		$29.41	$46.53	$62.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $19.22 / $36.92	Professional		$13.61	$19.22	$36.92
United Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $8.61 / $18.10	Professional		$6.33	$8.61	$18.10