Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.88 / $21.61 / $41.72	Facility		$17.88	$21.61	$41.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $14.45 / $80.81	Professional		$13.25	$14.45	$80.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.23 / $39.24 / $53.49	Facility		$24.23	$39.24	$53.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $16.93 / $27.02	Professional		$10.66	$16.93	$27.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $36.28 / $39.14	Professional		$14.90	$36.28	$39.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $18.73 / $49.80	Facility		$13.49	$18.73	$49.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $17.14 / $24.53	Professional		$14.90	$17.14	$24.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $17.88 / $32.89	Facility		$14.90	$17.88	$32.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $18.73 / $43.21	Facility		$13.49	$18.73	$43.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $18.63 / $24.38	Professional		$14.90	$18.63	$24.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.06 / $46.00 / $61.56	Facility		$29.06	$46.00	$61.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $18.98 / $36.92	Professional		$13.33	$18.98	$36.92
United Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $8.51 / $17.88	Professional		$6.26	$8.51	$17.88