Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $34.69 / $91.20	Facility		$20.61	$34.69	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $12.71 / $14.60	Professional		$12.23	$12.71	$14.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.73 / $38.43 / $52.43	Facility		$23.73	$38.43	$52.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $16.93 / $26.44	Professional		$10.48	$16.93	$26.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $35.49 / $38.31	Professional		$14.60	$35.49	$38.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $18.35 / $48.97	Facility		$12.72	$18.35	$48.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $17.52 / $29.36	Professional		$14.60	$17.52	$29.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.60 / $19.71 / $32.22	Facility		$14.60	$19.71	$32.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $18.35 / $42.34	Facility		$12.72	$18.35	$42.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $17.52 / $23.90	Professional		$14.60	$17.52	$23.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.47 / $45.08 / $60.32	Facility		$28.47	$45.08	$60.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $18.61 / $36.10	Professional		$13.04	$18.61	$36.10
United Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $8.35 / $17.52	Professional		$6.13	$8.35	$17.52