Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.46 / $48.50 / $107.05	Facility		$23.46	$48.50	$107.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $15.69 / $53.79	Professional		$14.06	$15.69	$53.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $42.61 / $58.11	Facility		$26.30	$42.61	$58.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $18.59 / $28.79	Professional		$11.54	$18.59	$28.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $39.45 / $42.56	Professional		$16.18	$39.45	$42.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.67 / $22.44 / $55.89	Facility		$14.67	$22.44	$55.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $19.42 / $32.56	Professional		$16.18	$19.42	$32.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.18 / $20.00 / $41.00	Facility		$16.18	$20.00	$41.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.67 / $20.35 / $46.92	Facility		$14.67	$20.35	$46.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $19.42 / $26.48	Professional		$16.18	$19.42	$26.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.55 / $49.93 / $66.84	Facility		$31.55	$49.93	$66.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $20.62 / $40.20	Professional		$14.48	$20.62	$40.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $9.25 / $19.42	Professional		$6.80	$9.25	$19.42