Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.75 / $35.97 / $67.28	Facility		$14.75	$35.97	$67.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $13.51 / $19.64	Professional		$10.08	$13.51	$19.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $40.82 / $55.63	Facility		$25.20	$40.82	$55.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $17.76 / $27.61	Professional		$11.19	$17.76	$27.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $37.86 / $40.86	Professional		$15.50	$37.86	$40.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $19.48 / $51.46	Facility		$13.52	$19.48	$51.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $17.82 / $31.19	Professional		$15.50	$17.82	$31.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $20.93 / $34.22	Facility		$15.50	$20.93	$34.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $19.48 / $44.95	Facility		$13.52	$19.48	$44.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $19.38 / $25.37	Professional		$15.50	$19.38	$25.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $47.83 / $64.04	Facility		$30.23	$47.83	$64.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $19.76 / $38.56	Professional		$13.91	$19.76	$38.56
United Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $8.86 / $18.60	Professional		$6.51	$8.86	$18.60