Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.41 / $98.44 / $163.24	Facility		$23.41	$98.44	$163.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $13.19 / $17.43	Professional		$12.68	$13.19	$17.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.68 / $38.35 / $52.32	Facility		$23.68	$38.35	$52.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $16.93 / $25.85	Professional		$10.48	$16.93	$25.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $35.49 / $38.31	Professional		$14.57	$35.49	$38.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.21 / $18.32 / $48.97	Facility		$13.21	$18.32	$48.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $16.76 / $29.32	Professional		$14.57	$16.76	$29.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $19.67 / $37.93	Facility		$14.57	$19.67	$37.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.21 / $17.63 / $42.25	Facility		$13.21	$17.63	$42.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $18.21 / $23.86	Professional		$14.57	$18.21	$23.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.41 / $44.98 / $60.19	Facility		$28.41	$44.98	$60.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $18.57 / $36.10	Professional		$13.04	$18.57	$36.10
United Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $8.33 / $20.58	Professional		$6.12	$8.33	$20.58