Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $24.02 / $199.00	Facility		$14.41	$24.02	$199.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $10.26 / $14.60	Professional		$9.94	$10.26	$14.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.73 / $30.33 / $41.39	Facility		$18.73	$30.33	$41.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $13.22 / $20.56	Professional		$8.35	$13.22	$20.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $28.39 / $30.63	Professional		$11.53	$28.39	$30.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $12.30 / $24.04	Facility		$10.09	$12.30	$24.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $13.26 / $20.13	Professional		$11.53	$13.26	$20.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $15.57 / $25.45	Facility		$11.53	$15.57	$25.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $13.84 / $33.44	Facility		$10.09	$13.84	$33.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $13.84 / $18.88	Professional		$11.53	$13.84	$18.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.48 / $35.58 / $47.64	Facility		$22.48	$35.58	$47.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $14.69 / $28.72	Professional		$10.43	$14.69	$28.72
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $6.59 / $13.84	Professional		$4.84	$6.59	$13.84