Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.50 / $70.00 / $150.97	Facility		$16.50	$70.00	$150.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $11.88 / $22.80	Professional		$9.53	$11.88	$22.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.15 / $35.88 / $48.91	Facility		$22.15	$35.88	$48.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $15.69 / $24.67	Professional		$9.77	$15.69	$24.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $33.14 / $35.72	Professional		$13.63	$33.14	$35.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.87 / $28.42 / $102.60	Facility		$11.87	$28.42	$102.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $13.63 / $19.63	Professional		$11.91	$13.63	$19.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.63 / $16.36 / $30.09	Facility		$13.63	$16.36	$30.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.87 / $16.36 / $39.53	Facility		$11.87	$16.36	$39.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $14.99 / $19.48	Professional		$11.90	$14.99	$19.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.58 / $42.08 / $56.31	Facility		$26.58	$42.08	$56.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $12.40 / $33.64	Professional		$8.94	$12.40	$33.64
United Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $7.79 / $16.36	Professional		$5.72	$7.79	$16.36