Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $30.82 / $166.79	Facility		$17.26	$30.82	$166.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $13.28 / $30.82	Professional		$11.84	$13.28	$30.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.58 / $34.95 / $47.70	Facility		$21.58	$34.95	$47.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $15.28 / $24.09	Professional		$9.59	$15.28	$24.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $32.35 / $34.90	Professional		$13.28	$32.35	$34.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $16.70 / $44.82	Facility		$12.04	$16.70	$44.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $15.94 / $26.71	Professional		$13.28	$15.94	$26.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $17.28 / $30.75	Facility		$13.28	$17.28	$30.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $16.70 / $38.51	Facility		$12.04	$16.70	$38.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $16.60 / $21.74	Professional		$13.28	$16.60	$21.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.90 / $40.98 / $54.86	Facility		$25.90	$40.98	$54.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $16.92 / $32.82	Professional		$11.87	$16.92	$32.82
United Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $7.59 / $18.76	Professional		$5.58	$7.59	$18.76