Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $23.69 / $45.75	Facility		$19.48	$23.69	$45.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $14.61 / $19.55	Professional		$11.08	$14.61	$19.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.55 / $43.01 / $58.71	Facility		$26.55	$43.01	$58.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $19.00 / $29.37	Professional		$11.72	$19.00	$29.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $40.24 / $43.41	Professional		$16.34	$40.24	$43.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $20.55 / $53.95	Facility		$14.83	$20.55	$53.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $19.61 / $32.88	Professional		$16.34	$19.61	$32.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $21.26 / $41.00	Facility		$16.34	$21.26	$41.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $20.55 / $47.39	Facility		$14.83	$20.55	$47.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $19.61 / $26.76	Professional		$16.34	$19.61	$26.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.86 / $50.43 / $67.51	Facility		$31.86	$50.43	$67.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $20.84 / $40.20	Professional		$14.78	$20.84	$40.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $9.34 / $19.61	Professional		$6.86	$9.34	$19.61