Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $33.02 / $147.84	Facility		$16.55	$33.02	$147.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $12.85 / $83.08	Professional		$11.82	$12.85	$83.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $34.86 / $47.61	Facility		$21.53	$34.86	$47.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $15.28 / $23.50	Professional		$9.59	$15.28	$23.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $32.35 / $34.90	Professional		$13.25	$32.35	$34.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.03 / $17.52 / $53.92	Facility		$12.03	$17.52	$53.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $15.90 / $26.67	Professional		$13.25	$15.90	$26.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $17.25 / $33.82	Facility		$13.25	$17.25	$33.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.03 / $16.67 / $38.43	Facility		$12.03	$16.67	$38.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $16.55 / $21.71	Professional		$13.25	$16.55	$21.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.84 / $40.90 / $54.74	Facility		$25.84	$40.90	$54.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $16.89 / $32.82	Professional		$11.87	$16.89	$32.82
United Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $5.57 / $15.90	Professional		$5.57	$5.57	$15.90