Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.75 / $54.81 / $207.55	Facility		$15.75	$54.81	$207.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $12.72 / $26.40	Professional		$11.97	$12.72	$26.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.48 / $33.17 / $38.93	Facility		$20.48	$33.17	$38.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.13 / $14.46 / $22.32	Professional		$7.13	$14.46	$22.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $30.77 / $33.18	Professional		$12.60	$30.77	$33.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.18 / $13.44 / $110.20	Facility		$9.18	$13.44	$110.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $14.49 / $18.14	Professional		$12.60	$14.49	$18.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $13.86 / $27.81	Facility		$12.60	$13.86	$27.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.18 / $15.12 / $36.52	Facility		$9.18	$15.12	$36.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $14.21 / $18.02	Professional		$12.60	$14.21	$18.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.57 / $38.34 / $52.06	Facility		$24.57	$38.34	$52.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $17.50 / $31.18	Professional		$11.22	$17.50	$31.18
United Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $6.28 / $15.12	Professional		$5.29	$6.28	$15.12