Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $28.32 / $169.84	Facility		$15.50	$28.32	$169.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $11.56 / $17.16	Professional		$10.64	$11.56	$17.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $31.39 / $42.84	Facility		$19.38	$31.39	$42.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $13.63 / $21.15	Professional		$8.52	$13.63	$21.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $29.18 / $31.49	Professional		$11.92	$29.18	$31.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.80 / $14.99 / $39.84	Facility		$10.80	$14.99	$39.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $13.71 / $20.82	Professional		$11.92	$13.71	$20.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.92 / $16.09 / $30.75	Facility		$11.92	$16.09	$30.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.80 / $14.99 / $34.57	Facility		$10.80	$14.99	$34.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $14.90 / $19.52	Professional		$11.92	$14.90	$19.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.24 / $36.79 / $49.25	Facility		$23.24	$36.79	$49.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.20 / $29.54	Professional		$10.72	$15.20	$29.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.82 / $14.30	Professional		$5.01	$6.82	$14.30