Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.53 / $83.48 / $122.14	Facility		$23.53	$83.48	$122.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $12.36 / $18.78	Professional		$11.88	$12.36	$18.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.23 / $36.00 / $49.07	Facility		$22.23	$36.00	$49.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $15.69 / $24.67	Professional		$9.77	$15.69	$24.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $33.14 / $35.72	Professional		$13.68	$33.14	$35.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.39 / $16.21 / $45.65	Facility		$12.39	$16.21	$45.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $15.73 / $27.49	Professional		$13.68	$15.73	$27.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.68 / $16.89 / $34.85	Facility		$13.68	$16.89	$34.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.39 / $16.55 / $39.67	Facility		$12.39	$16.55	$39.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $16.42 / $22.38	Professional		$13.68	$16.42	$22.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.68 / $42.20 / $56.52	Facility		$26.68	$42.20	$56.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $17.42 / $33.64	Professional		$12.17	$17.42	$33.64
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.81 / $16.42	Professional		$5.75	$7.81	$16.42