Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.02 / $20.56 / $39.70	Facility		$17.02	$20.56	$39.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $13.75 / $17.55	Professional		$12.32	$13.75	$17.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.05 / $37.34 / $49.77	Facility		$23.05	$37.34	$49.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $16.52 / $25.26	Professional		$9.94	$16.52	$25.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $34.70 / $37.45	Professional		$14.18	$34.70	$37.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $15.35 / $40.00	Facility		$13.00	$15.35	$40.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $17.02 / $24.21	Professional		$14.18	$17.02	$24.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.18 / $17.14 / $31.30	Facility		$14.18	$17.14	$31.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.18 / $17.16 / $41.12	Facility		$14.18	$17.16	$41.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $17.02 / $22.69	Professional		$14.18	$17.02	$22.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.65 / $43.15 / $58.58	Facility		$27.65	$43.15	$58.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $17.67 / $35.28	Professional		$12.74	$17.67	$35.28
United Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $7.93 / $17.02	Professional		$5.96	$7.93	$17.02