Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $36.31 / $169.82	Facility		$15.85	$36.31	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.59 / $26.30	Professional		$7.94	$12.59	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $33.11 / $38.90	Facility		$20.42	$33.11	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $14.45 / $22.39	Professional		$6.92	$14.45	$22.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $27.54 / $32.36	Professional		$12.59	$27.54	$32.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $93.33	Facility		$12.59	$12.59	$93.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.45 / $18.62	Professional		$12.30	$14.45	$18.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $23.99	Facility		$12.59	$12.59	$23.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $17.38 / $37.15	Facility		$12.30	$17.38	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.80 / $22.39	Professional		$11.22	$13.80	$22.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $38.02 / $52.48	Facility		$19.05	$38.02	$52.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.48 / $15.14	Professional		$9.33	$11.48	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $19.95	Facility		$15.14	$15.14	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.31 / $15.14	Professional		$5.25	$6.31	$15.14