Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $22.43 / $43.32	Facility		$18.55	$22.43	$43.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $15.01 / $76.88	Professional		$15.01	$15.01	$76.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.15 / $40.74 / $50.90	Facility		$25.15	$40.74	$50.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $17.76 / $27.61	Professional		$10.11	$17.76	$27.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $37.86 / $40.86	Professional		$15.47	$37.86	$40.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.86 / $17.82 / $47.31	Facility		$13.86	$17.82	$47.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $18.55 / $28.51	Professional		$15.47	$18.55	$28.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.47 / $18.55 / $34.15	Facility		$15.47	$18.55	$34.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.47 / $18.72 / $44.86	Facility		$15.47	$18.72	$44.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $18.32 / $23.21	Professional		$15.47	$18.32	$23.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.17 / $47.08 / $63.91	Facility		$30.17	$47.08	$63.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $18.07 / $37.74	Professional		$13.91	$18.07	$37.74
United Facility/Professional Facility Modifier Low / Median / High Price $23.21 / $23.21 / $24.75	Facility		$23.21	$23.21	$24.75
United Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $8.10 / $18.55	Professional		$6.50	$8.10	$18.55