Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.56 / $43.65 / $123.15	Facility		$20.56	$43.65	$123.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $12.36 / $16.96	Professional		$11.88	$12.36	$16.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.05 / $37.34 / $50.90	Facility		$23.05	$37.34	$50.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $16.52 / $25.26	Professional		$10.11	$16.52	$25.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $34.70 / $37.45	Professional		$14.18	$34.70	$37.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.36 / $17.82 / $47.31	Facility		$12.36	$17.82	$47.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $17.02 / $28.53	Professional		$14.18	$17.02	$28.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.18 / $17.02 / $32.79	Facility		$14.18	$17.02	$32.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.36 / $17.82 / $41.12	Facility		$12.36	$17.82	$41.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $17.02 / $23.21	Professional		$14.18	$17.02	$23.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.65 / $43.78 / $58.58	Facility		$27.65	$43.78	$58.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $18.07 / $35.28	Professional		$12.74	$18.07	$35.28
United Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $8.10 / $17.02	Professional		$5.96	$8.10	$17.02