Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $36.25 / $94.39	Facility		$15.14	$36.25	$94.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $10.97 / $21.94	Professional		$10.29	$10.97	$21.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.68 / $31.87 / $43.48	Facility		$19.68	$31.87	$43.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $13.63 / $21.74	Professional		$8.69	$13.63	$21.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $29.18 / $31.49	Professional		$12.11	$29.18	$31.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $16.25 / $39.86	Facility		$10.98	$16.25	$39.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $13.93 / $24.35	Professional		$12.11	$13.93	$24.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $16.35 / $28.70	Facility		$12.11	$16.35	$28.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $15.22 / $35.11	Facility		$10.98	$15.22	$35.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $15.14 / $19.82	Professional		$12.11	$15.14	$19.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $37.38 / $50.03	Facility		$23.61	$37.38	$50.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.44 / $29.54	Professional		$10.72	$15.44	$29.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $6.92 / $14.53	Professional		$5.09	$6.92	$14.53