Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.21 / $36.31 / $126.00	Facility		$18.21	$36.31	$126.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $14.13 / $21.13	Professional		$11.08	$14.13	$21.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.68 / $38.35 / $52.32	Facility		$23.68	$38.35	$52.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $16.93 / $25.85	Professional		$10.48	$16.93	$25.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $35.49 / $38.31	Professional		$14.57	$35.49	$38.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.69 / $18.30 / $48.97	Facility		$12.69	$18.30	$48.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $17.48 / $29.29	Professional		$14.57	$17.48	$29.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $18.94 / $32.79	Facility		$14.57	$18.94	$32.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.69 / $18.30 / $42.25	Facility		$12.69	$18.30	$42.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $17.48 / $23.84	Professional		$14.57	$17.48	$23.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.41 / $44.95 / $60.19	Facility		$28.41	$44.95	$60.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $18.55 / $36.10	Professional		$13.04	$18.55	$36.10
United Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $7.22 / $17.48	Professional		$6.12	$7.22	$17.48