Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.89 / $65.55 / $138.57	Facility		$19.89	$65.55	$138.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $12.43 / $16.39	Professional		$12.21	$12.43	$16.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.30 / $36.13 / $49.24	Facility		$22.30	$36.13	$49.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $15.69 / $24.67	Professional		$9.77	$15.69	$24.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $33.14 / $35.72	Professional		$13.72	$33.14	$35.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $17.23 / $45.65	Facility		$12.43	$17.23	$45.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $16.46 / $27.58	Professional		$13.72	$16.46	$27.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $16.46 / $34.85	Facility		$13.72	$16.46	$34.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.43 / $17.23 / $39.79	Facility		$12.43	$17.23	$39.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $17.14 / $22.45	Professional		$13.72	$17.14	$22.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.75 / $42.35 / $56.68	Facility		$26.75	$42.35	$56.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $17.48 / $33.64	Professional		$12.17	$17.48	$33.64
United Facility/Professional Facility Modifier Low / Median / High Price $20.58 / $20.58 / $21.95	Facility		$20.58	$20.58	$21.95
United Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $7.84 / $16.46	Professional		$5.76	$7.84	$16.46