Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.12 / $34.11 / $168.40	Facility		$19.12	$34.11	$168.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $14.27 / $21.33	Professional		$9.56	$14.27	$21.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.90 / $38.72 / $52.86	Facility		$23.90	$38.72	$52.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $16.93 / $26.44	Professional		$10.48	$16.93	$26.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $35.49 / $38.31	Professional		$14.71	$35.49	$38.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $18.50 / $48.97	Facility		$13.34	$18.50	$48.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $17.64 / $29.59	Professional		$14.71	$17.64	$29.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.71 / $19.86 / $35.88	Facility		$14.71	$19.86	$35.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $18.50 / $42.66	Facility		$13.34	$18.50	$42.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $18.39 / $24.08	Professional		$14.71	$18.39	$24.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $45.40 / $60.77	Facility		$28.68	$45.40	$60.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $18.75 / $36.10	Professional		$13.04	$18.75	$36.10
United Facility/Professional Professional Modifier Low / Median / High Price $6.18 / $8.41 / $20.55	Professional		$6.18	$8.41	$20.55