Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $28.94 / $152.63	Facility		$14.51	$28.94	$152.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.44 / $14.69	Professional		$10.11	$10.44	$14.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.88 / $30.58 / $41.67	Facility		$18.88	$30.58	$41.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $13.22 / $20.56	Professional		$8.35	$13.22	$20.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $28.39 / $30.63	Professional		$11.61	$28.39	$30.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.52 / $14.58 / $38.18	Facility		$10.52	$14.58	$38.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $13.93 / $21.00	Professional		$11.61	$13.93	$21.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $14.51 / $25.63	Facility		$11.61	$14.51	$25.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.52 / $14.58 / $33.67	Facility		$10.52	$14.58	$33.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $13.93 / $19.00	Professional		$11.61	$13.93	$19.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $35.83 / $47.97	Facility		$22.64	$35.83	$47.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $14.79 / $28.72	Professional		$10.43	$14.79	$28.72
United Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $5.75 / $13.93	Professional		$4.88	$5.75	$13.93