Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $48.20 / $120.60	Facility		$18.23	$48.20	$120.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $11.40 / $17.27	Professional		$10.96	$11.40	$17.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.45 / $33.13 / $45.15	Facility		$20.45	$33.13	$45.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $14.46 / $22.32	Professional		$9.06	$14.46	$22.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $30.77 / $33.18	Professional		$12.58	$30.77	$33.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.41 / $15.82 / $41.50	Facility		$11.41	$15.82	$41.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $15.10 / $25.32	Professional		$12.58	$15.10	$25.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $15.10 / $27.77	Facility		$12.58	$15.10	$27.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.41 / $15.82 / $36.47	Facility		$11.41	$15.82	$36.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $15.10 / $20.59	Professional		$12.58	$15.10	$20.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.53 / $38.83 / $51.97	Facility		$24.53	$38.83	$51.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $16.04 / $31.18	Professional		$11.30	$16.04	$31.18
United Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $7.19 / $15.10	Professional		$5.28	$7.19	$15.10