Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.10 / $21.00 / $55.02	Facility		$18.10	$21.00	$55.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $13.74 / $21.00	Professional		$10.14	$13.74	$21.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.53 / $38.11 / $42.06	Facility		$23.53	$38.11	$42.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.81 / $15.18 / $25.85	Professional		$7.81	$15.18	$25.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $35.49 / $38.31	Professional		$14.48	$35.49	$38.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.55 / $15.46 / $35.69	Facility		$10.55	$15.46	$35.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $14.79 / $21.84	Professional		$14.48	$14.79	$21.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $16.36 / $31.96	Facility		$14.48	$16.36	$31.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.55 / $17.38 / $38.99	Facility		$10.55	$17.38	$38.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $15.93 / $20.27	Professional		$14.03	$15.93	$20.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.24 / $44.06 / $59.82	Facility		$28.24	$44.06	$59.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.09 / $13.83 / $35.28	Professional		$11.09	$13.83	$35.28
United Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.20 / $17.61	Professional		$6.08	$6.20	$17.61