Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $67.48 / $129.72	Facility		$18.95	$67.48	$129.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $13.13 / $84.90	Professional		$11.72	$13.13	$84.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $35.64 / $48.66	Facility		$22.00	$35.64	$48.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $15.69 / $24.09	Professional		$9.77	$15.69	$24.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $33.14 / $35.72	Professional		$13.54	$33.14	$35.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $18.78 / $67.40	Facility		$11.81	$18.78	$67.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $15.57 / $27.26	Professional		$13.54	$15.57	$27.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $18.28 / $41.00	Facility		$13.54	$18.28	$41.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $17.04 / $39.27	Facility		$11.81	$17.04	$39.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $16.25 / $22.19	Professional		$13.54	$16.25	$22.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.40 / $41.80 / $55.94	Facility		$26.40	$41.80	$55.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $17.27 / $33.64	Professional		$12.17	$17.27	$33.64
United Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $7.74 / $16.25	Professional		$5.69	$7.74	$16.25