Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.97 / $43.00 / $97.85	Facility		$20.97	$43.00	$97.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $13.08 / $19.85	Professional		$12.57	$13.08	$19.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $38.07 / $51.90	Facility		$23.50	$38.07	$51.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $16.93 / $25.85	Professional		$10.30	$16.93	$25.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $35.49 / $38.31	Professional		$14.46	$35.49	$38.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.61 / $18.18 / $48.14	Facility		$12.61	$18.18	$48.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $17.35 / $23.81	Professional		$14.46	$17.35	$23.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $17.89 / $31.92	Facility		$14.46	$17.89	$31.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.61 / $18.18 / $41.93	Facility		$12.61	$18.18	$41.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $18.07 / $23.68	Professional		$14.46	$18.07	$23.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.20 / $44.65 / $59.74	Facility		$28.20	$44.65	$59.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $18.43 / $35.28	Professional		$13.04	$18.43	$35.28
United Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $8.27 / $17.35	Professional		$6.07	$8.27	$17.35