Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $76.56 / $141.55	Facility		$18.55	$76.56	$141.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $11.20 / $72.42	Professional		$8.66	$11.20	$72.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.78 / $30.42 / $41.46	Facility		$18.78	$30.42	$41.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $13.22 / $20.56	Professional		$8.35	$13.22	$20.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $28.39 / $30.63	Professional		$11.55	$28.39	$30.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.56 / $16.02 / $74.70	Facility		$9.56	$16.02	$74.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $13.28 / $19.02	Professional		$11.55	$13.28	$19.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $15.59 / $25.50	Facility		$11.55	$15.59	$25.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $13.98 / $33.50	Facility		$10.07	$13.98	$33.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $14.44 / $18.89	Professional		$11.55	$14.44	$18.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $35.65 / $47.72	Facility		$22.52	$35.65	$47.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $14.72 / $28.72	Professional		$10.43	$14.72	$28.72
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $6.60 / $16.32	Professional		$4.84	$6.60	$16.32