Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.73 / $29.97 / $68.97	Facility		$18.73	$29.97	$68.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $11.70 / $42.92	Professional		$11.53	$11.70	$42.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $34.02 / $46.36	Facility		$21.00	$34.02	$46.36
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 $12.92 / $31.56 / $34.04	Professional		$12.92	$31.56	$34.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $17.92 / $80.00	Facility		$11.70	$17.92	$80.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $14.86 / $21.26	Professional		$12.92	$14.86	$21.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.92 / $15.50 / $28.52	Facility		$12.92	$15.50	$28.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $16.23 / $37.47	Facility		$11.70	$16.23	$37.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $15.50 / $21.14	Professional		$12.92	$15.50	$21.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.19 / $39.88 / $53.38	Facility		$25.19	$39.88	$53.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $16.46 / $32.00	Professional		$11.59	$16.46	$32.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.43 / $7.38 / $15.50	Professional		$5.43	$7.38	$15.50