Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $34.35 / $120.65	Facility		$18.05	$34.35	$120.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.67 / $14.45	Professional		$11.22	$11.67	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.48 / $38.03 / $46.21	Facility		$23.48	$38.03	$46.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $16.70 / $25.85	Professional		$9.24	$16.70	$25.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $35.49 / $38.31	Professional		$14.45	$35.49	$38.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.67 / $16.19 / $43.16	Facility		$11.67	$16.19	$43.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.34 / $25.91	Professional		$14.45	$17.34	$25.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $17.95 / $31.90	Facility		$14.45	$17.95	$31.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.67 / $17.48 / $41.91	Facility		$11.67	$17.48	$41.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.64 / $21.07	Professional		$14.45	$16.64	$21.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $43.97 / $59.70	Facility		$28.18	$43.97	$59.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $16.41 / $35.28	Professional		$13.04	$16.41	$35.28
United Facility/Professional Facility Modifier Low / Median / High Price $21.68 / $21.68 / $23.12	Facility		$21.68	$21.68	$23.12
United Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $7.36 / $17.34	Professional		$6.07	$7.36	$17.34