Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $58.88 / $169.82	Facility		$19.05	$58.88	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.02 / $87.10	Professional		$7.08	$12.02	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $34.67 / $47.86	Facility		$21.38	$34.67	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $13.18 / $23.44	Professional		$8.13	$13.18	$23.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $28.84 / $33.88	Professional		$13.18	$28.84	$33.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $83.18	Facility		$13.18	$13.18	$83.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.14 / $19.05	Professional		$13.18	$15.14	$19.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $25.12	Facility		$13.18	$13.18	$25.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $18.62 / $38.90	Facility		$12.88	$18.62	$38.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.79 / $25.70	Professional		$12.02	$14.79	$25.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $39.81 / $54.95	Facility		$19.95	$39.81	$54.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.18 / $18.20	Professional		$10.00	$13.18	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $21.38	Facility		$15.85	$15.85	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.59 / $15.85	Professional		$5.62	$7.59	$15.85