Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.63 / $21.30 / $41.13	Facility		$17.63	$21.30	$41.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $17.57 / $20.17	Professional		$14.25	$17.57	$20.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.88 / $38.68 / $52.75	Facility		$23.88	$38.68	$52.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $16.93 / $26.44	Professional		$10.48	$16.93	$26.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $35.49 / $38.31	Professional		$14.69	$35.49	$38.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.81 / $17.52 / $48.97	Facility		$12.81	$17.52	$48.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $17.63 / $29.55	Professional		$14.69	$17.63	$29.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $19.82 / $32.79	Facility		$14.69	$19.82	$32.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.81 / $17.77 / $42.60	Facility		$12.81	$17.77	$42.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $18.36 / $24.05	Professional		$14.69	$18.36	$24.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $45.35 / $60.69	Facility		$28.65	$45.35	$60.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $18.72 / $36.10	Professional		$13.04	$18.72	$36.10
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.40 / $17.63	Professional		$6.17	$8.40	$17.63