Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $61.62 / $177.27	Facility		$18.50	$61.62	$177.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $11.57 / $17.52	Professional		$9.44	$11.57	$17.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.73 / $33.57 / $45.83	Facility		$20.73	$33.57	$45.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $14.46 / $22.91	Professional		$9.24	$14.46	$22.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $30.77 / $33.18	Professional		$12.76	$30.77	$33.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.57 / $17.70 / $64.70	Facility		$11.57	$17.70	$64.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $15.31 / $22.05	Professional		$12.76	$15.31	$22.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.76 / $17.23 / $28.17	Facility		$12.76	$17.23	$28.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.57 / $16.05 / $37.00	Facility		$11.57	$16.05	$37.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $15.95 / $20.90	Professional		$12.76	$15.95	$20.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.88 / $39.40 / $52.72	Facility		$24.88	$39.40	$52.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $16.28 / $31.18	Professional		$11.30	$16.28	$31.18
United Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $7.30 / $15.31	Professional		$5.36	$7.30	$15.31