Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $60.10 / $126.50	Facility		$19.48	$60.10	$126.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $11.96 / $18.45	Professional		$11.53	$11.96	$18.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $35.40 / $48.23	Facility		$21.85	$35.40	$48.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $15.69 / $24.09	Professional		$9.59	$15.69	$24.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $33.14 / $35.72	Professional		$13.44	$33.14	$35.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $17.52 / $53.92	Facility		$11.70	$17.52	$53.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $16.13 / $22.12	Professional		$13.44	$16.13	$22.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $18.00 / $29.67	Facility		$13.44	$18.00	$29.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $16.89 / $38.97	Facility		$11.70	$16.89	$38.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $16.80 / $22.00	Professional		$13.44	$16.80	$22.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.21 / $41.48 / $55.53	Facility		$26.21	$41.48	$55.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $17.13 / $32.82	Professional		$12.17	$17.13	$32.82
United Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $7.68 / $16.13	Professional		$5.64	$7.68	$16.13