Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.68 / $27.79 / $132.94	Facility		$16.68	$27.79	$132.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $12.94 / $54.22	Professional		$11.96	$12.94	$54.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.68 / $35.11 / $38.75	Facility		$21.68	$35.11	$38.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $14.04 / $24.09	Professional		$7.10	$14.04	$24.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $32.35 / $34.90	Professional		$13.34	$32.35	$34.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.67 / $14.23 / $33.20	Facility		$6.67	$14.23	$33.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $13.61 / $17.45	Professional		$13.34	$13.61	$17.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $15.07 / $29.45	Facility		$13.34	$15.07	$29.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.67 / $16.01 / $35.88	Facility		$6.67	$16.01	$35.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $14.67 / $18.68	Professional		$12.91	$14.67	$18.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.01 / $40.59 / $55.11	Facility		$26.01	$40.59	$55.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $12.74 / $32.82	Professional		$10.21	$12.74	$32.82
United Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $5.71 / $16.01	Professional		$5.60	$5.71	$16.01