Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $56.70 / $95.95	Facility		$16.57	$56.70	$95.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $10.22 / $15.20	Professional		$8.44	$10.22	$15.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $30.09 / $41.02	Facility		$18.57	$30.09	$41.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $13.22 / $20.56	Professional		$8.17	$13.22	$20.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $27.60 / $29.79	Professional		$11.43	$27.60	$29.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.37 / $15.86 / $52.58	Facility		$10.37	$15.86	$52.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $13.14 / $23.01	Professional		$11.43	$13.14	$23.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.43 / $15.43 / $28.70	Facility		$11.43	$15.43	$28.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.37 / $14.38 / $33.15	Facility		$10.37	$14.38	$33.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $14.29 / $18.71	Professional		$11.43	$14.29	$18.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.29 / $35.28 / $47.22	Facility		$22.29	$35.28	$47.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $14.57 / $27.90	Professional		$10.14	$14.57	$27.90
United Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $6.53 / $16.14	Professional		$4.80	$6.53	$16.14