Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $35.70 / $74.55	Facility		$18.62	$35.70	$74.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $12.12 / $20.76	Professional		$11.28	$12.12	$20.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.28 / $37.71 / $46.48	Facility		$23.28	$37.71	$46.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $16.52 / $25.85	Professional		$9.24	$16.52	$25.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $34.70 / $37.45	Professional		$14.32	$34.70	$37.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $14.32 / $29.86	Facility		$11.74	$14.32	$29.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $16.47 / $20.62	Professional		$14.32	$16.47	$20.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $17.57 / $36.90	Facility		$14.32	$17.57	$36.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $17.18 / $41.53	Facility		$11.74	$17.18	$41.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $16.73 / $21.19	Professional		$14.32	$16.73	$21.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.92 / $43.58 / $59.16	Facility		$27.92	$43.58	$59.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $16.51 / $35.28	Professional		$12.74	$16.51	$35.28
United Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $6.42 / $17.18	Professional		$6.01	$6.42	$17.18