Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.24 / $17.21 / $33.24	Facility		$14.24	$17.21	$33.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $11.51 / $64.40	Professional		$11.51	$11.51	$64.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $31.27 / $42.59	Facility		$19.30	$31.27	$42.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $13.63 / $21.15	Professional		$8.52	$13.63	$21.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $29.18 / $31.49	Professional		$11.87	$29.18	$31.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $14.92 / $39.01	Facility		$11.51	$14.92	$39.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $14.24 / $19.54	Professional		$11.87	$14.24	$19.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.87 / $16.12 / $26.20	Facility		$11.87	$16.12	$26.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.87 / $14.92 / $34.42	Facility		$11.87	$14.92	$34.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $14.84 / $19.43	Professional		$11.87	$14.84	$19.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.15 / $36.63 / $49.04	Facility		$23.15	$36.63	$49.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.13 / $29.54	Professional		$10.72	$15.13	$29.54
United Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $6.78 / $14.24	Professional		$4.99	$6.78	$14.24