Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.09 / $32.07 / $163.62	Facility		$16.09	$32.07	$163.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $15.40 / $69.86	Professional		$12.48	$15.40	$69.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.93 / $33.90 / $46.21	Facility		$20.93	$33.90	$46.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $14.87 / $22.91	Professional		$9.24	$14.87	$22.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $31.56 / $34.04	Professional		$12.87	$31.56	$34.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.48 / $16.19 / $43.16	Facility		$12.48	$16.19	$43.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $14.80 / $25.91	Professional		$12.87	$14.80	$25.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.87 / $17.37 / $28.70	Facility		$12.87	$17.37	$28.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.87 / $16.19 / $37.32	Facility		$12.87	$16.19	$37.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $16.09 / $21.07	Professional		$12.87	$16.09	$21.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.10 / $39.72 / $53.17	Facility		$25.10	$39.72	$53.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $16.41 / $32.00	Professional		$11.59	$16.41	$32.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $7.36 / $15.44	Professional		$5.41	$7.36	$15.44