Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.56 / $61.13 / $132.10	Facility		$20.56	$61.13	$132.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $12.84 / $18.84	Professional		$11.06	$12.84	$18.84
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 $12.86 / $19.66 / $70.50	Facility		$12.86	$19.66	$70.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $17.02 / $24.15	Professional		$14.18	$17.02	$24.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.18 / $19.14 / $31.30	Facility		$14.18	$19.14	$31.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $17.82 / $41.12	Facility		$12.86	$17.82	$41.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $17.73 / $23.21	Professional		$14.18	$17.73	$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 / $7.03 / $17.02	Professional		$5.96	$7.03	$17.02