Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.93 / $19.63 / $51.45	Facility		$16.93	$19.63	$51.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $12.82 / $15.67	Professional		$12.10	$12.82	$15.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $35.64 / $48.35	Facility		$22.00	$35.64	$48.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $15.69 / $24.09	Professional		$9.24	$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 $11.25 / $13.54 / $28.23	Facility		$11.25	$13.54	$28.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $14.89 / $18.46	Professional		$13.54	$14.89	$18.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $14.89 / $29.89	Facility		$13.54	$14.89	$29.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $16.25 / $39.27	Facility		$12.28	$16.25	$39.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $16.25 / $22.13	Professional		$13.54	$16.25	$22.13
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 / $18.44 / $33.64	Professional		$12.17	$18.44	$33.64
United Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $7.74 / $16.25	Professional		$5.69	$7.74	$16.25