Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.72 / $61.42 / $148.72	Facility		$16.72	$61.42	$148.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $11.95 / $15.62	Professional		$10.74	$11.95	$15.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.03 / $32.44 / $44.26	Facility		$20.03	$32.44	$44.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $14.04 / $22.32	Professional		$8.88	$14.04	$22.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $29.98 / $32.35	Professional		$12.32	$29.98	$32.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.17 / $15.50 / $40.67	Facility		$11.17	$15.50	$40.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $14.17 / $24.80	Professional		$12.32	$14.17	$24.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $16.63 / $31.78	Facility		$12.32	$16.63	$31.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.17 / $15.50 / $35.72	Facility		$11.17	$15.50	$35.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $14.78 / $20.17	Professional		$12.32	$14.78	$20.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.02 / $38.03 / $50.90	Facility		$24.02	$38.03	$50.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $15.71 / $30.36	Professional		$11.01	$15.71	$30.36
United Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $7.04 / $14.78	Professional		$5.17	$7.04	$14.78