Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $18.55 / $35.84	Facility		$15.36	$18.55	$35.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $12.42 / $69.45	Professional		$11.38	$12.42	$69.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.80 / $33.70 / $46.00	Facility		$20.80	$33.70	$46.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $14.87 / $22.91	Professional		$9.24	$14.87	$22.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $31.56 / $34.04	Professional		$12.80	$31.56	$34.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.16 / $16.10 / $43.16	Facility		$11.16	$16.10	$43.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $15.36 / $25.76	Professional		$12.80	$15.36	$25.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $17.38 / $35.88	Facility		$12.80	$17.38	$35.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.16 / $16.10 / $37.11	Facility		$11.16	$16.10	$37.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $16.00 / $20.96	Professional		$12.80	$16.00	$20.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.96 / $39.50 / $52.88	Facility		$24.96	$39.50	$52.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $16.32 / $31.18	Professional		$11.59	$16.32	$31.18
United Facility/Professional Professional Modifier Low / Median / High Price $5.38 / $7.32 / $15.36	Professional		$5.38	$7.32	$15.36