Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.13 / $19.48 / $37.63	Facility		$16.13	$19.48	$37.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $13.04 / $72.87	Professional		$13.04	$13.04	$72.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $35.40 / $48.23	Facility		$21.85	$35.40	$48.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $15.69 / $24.09	Professional		$9.59	$15.69	$24.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $33.14 / $35.72	Professional		$13.44	$33.14	$35.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.04 / $16.25 / $44.82	Facility		$13.04	$16.25	$44.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $15.46 / $27.03	Professional		$13.44	$15.46	$27.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $18.14 / $34.85	Facility		$13.44	$18.14	$34.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $16.26 / $38.97	Facility		$13.44	$16.26	$38.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $16.13 / $22.00	Professional		$13.44	$16.13	$22.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.21 / $41.48 / $55.53	Facility		$26.21	$41.48	$55.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $17.13 / $32.82	Professional		$12.17	$17.13	$32.82
United Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $7.68 / $16.13	Professional		$5.64	$7.68	$16.13