Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.94 / $35.77 / $40.18	Facility		$17.94	$35.77	$40.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $13.92 / $18.17	Professional		$12.50	$13.92	$18.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.33 / $37.79 / $51.50	Facility		$23.33	$37.79	$51.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $16.52 / $25.85	Professional		$10.30	$16.52	$25.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $34.70 / $37.45	Professional		$14.35	$34.70	$37.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.01 / $15.31 / $43.14	Facility		$13.01	$15.31	$43.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $17.22 / $28.87	Professional		$14.35	$17.22	$28.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.35 / $19.37 / $36.90	Facility		$14.35	$19.37	$36.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.01 / $17.36 / $41.62	Facility		$13.01	$17.36	$41.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $17.94 / $23.48	Professional		$14.35	$17.94	$23.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.98 / $44.28 / $59.29	Facility		$27.98	$44.28	$59.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $18.29 / $35.28	Professional		$12.74	$18.29	$35.28
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.19 / $17.22	Professional		$6.03	$8.19	$17.22