Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $64.57 / $162.18	Facility		$12.88	$64.57	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $6.76 / $18.62	Professional		$5.62	$6.76	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $19.95 / $26.92	Facility		$12.30	$19.95	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $8.71 / $14.79	Professional		$4.90	$8.71	$14.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $16.60 / $19.50	Professional		$7.59	$16.60	$19.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $25.70 / $144.54	Facility		$7.59	$25.70	$144.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.12 / $19.05	Professional		$7.08	$9.12	$19.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $31.62	Facility		$7.59	$7.59	$31.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $10.72 / $25.70	Facility		$7.24	$10.72	$25.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.33 / $79.43	Professional		$7.59	$9.33	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $22.39 / $30.90	Facility		$11.22	$22.39	$30.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.59 / $9.55	Professional		$5.62	$7.59	$9.55
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.12 / $12.02	Facility		$9.12	$9.12	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $4.27 / $10.47	Professional		$3.16	$4.27	$10.47