Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $56.81 / $121.92	Facility		$13.60	$56.81	$121.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $7.72 / $14.09	Professional		$7.40	$7.72	$14.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $25.60 / $30.49	Facility		$15.80	$25.60	$30.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $11.00 / $17.62	Professional		$6.04	$11.00	$17.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $23.67 / $25.52	Professional		$9.72	$23.67	$25.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.71 / $10.68 / $26.96	Facility		$7.71	$10.68	$26.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $11.57 / $15.75	Professional		$9.72	$11.57	$15.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9.72 / $11.66 / $21.46	Facility		$9.72	$11.66	$21.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.71 / $11.66 / $26.96	Facility		$7.71	$11.66	$26.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $10.98 / $13.90	Professional		$9.72	$10.98	$13.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $29.58 / $40.15	Facility		$18.95	$29.58	$40.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $10.83 / $23.79	Professional		$8.68	$10.83	$23.79
United Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $4.86 / $13.73	Professional		$4.08	$4.86	$13.73