Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $34.31 / $175.56	Facility		$17.20	$34.31	$175.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.35 / $18.30	Professional		$12.30	$13.35	$18.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.35 / $36.21 / $49.44	Facility		$22.35	$36.21	$49.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $16.11 / $24.67	Professional		$9.94	$16.11	$24.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $33.90 / $36.59	Professional		$13.76	$33.90	$36.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $17.52 / $53.92	Facility		$12.49	$17.52	$53.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $15.82 / $22.66	Professional		$13.76	$15.82	$22.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $17.91 / $35.88	Facility		$13.76	$17.91	$35.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $17.30 / $39.90	Facility		$12.49	$17.30	$39.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $16.51 / $22.54	Professional		$13.76	$16.51	$22.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.83 / $42.48 / $56.85	Facility		$26.83	$42.48	$56.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $17.55 / $33.64	Professional		$12.46	$17.55	$33.64
United Facility/Professional Professional Modifier Low / Median / High Price $5.78 / $6.83 / $16.51	Professional		$5.78	$6.83	$16.51