Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.64 / $80.75 / $154.05	Facility		$24.64	$80.75	$154.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $13.07 / $20.82	Professional		$10.87	$13.07	$20.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.90 / $38.72 / $52.79	Facility		$23.90	$38.72	$52.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $16.93 / $26.44	Professional		$10.48	$16.93	$26.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $35.49 / $38.31	Professional		$14.70	$35.49	$38.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.82 / $22.59 / $121.43	Facility		$12.82	$22.59	$121.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $16.91 / $29.58	Professional		$14.70	$16.91	$29.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $19.85 / $36.90	Facility		$14.70	$19.85	$36.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.82 / $17.96 / $42.63	Facility		$12.82	$17.96	$42.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $18.38 / $24.07	Professional		$14.70	$18.38	$24.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.67 / $45.38 / $60.73	Facility		$28.67	$45.38	$60.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $18.73 / $36.10	Professional		$13.04	$18.73	$36.10
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.29 / $17.64	Professional		$6.17	$7.29	$17.64