Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.47 / $43.19 / $92.98	Facility		$17.47	$43.19	$92.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $9.97 / $11.18	Professional		$9.47	$9.97	$11.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $30.15 / $35.00	Facility		$19.57	$30.15	$35.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $13.63 / $21.74	Professional		$6.46	$13.63	$21.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $29.18 / $31.49	Professional		$12.05	$29.18	$31.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.27 / $12.05 / $29.05	Facility		$6.27	$12.05	$29.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $13.86 / $16.39	Professional		$12.05	$13.86	$16.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $13.26 / $18.07	Facility		$12.05	$13.26	$18.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.05 / $13.84 / $30.15	Facility		$10.05	$13.84	$30.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $12.68 / $16.14	Professional		$10.95	$12.68	$16.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.48 / $36.67 / $47.64	Facility		$22.48	$36.67	$47.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.29 / $29.54	Professional		$10.72	$14.29	$29.54
United Facility/Professional Facility Modifier Low / Median / High Price $5.19 / $5.19 / $12.05	Facility		$5.19	$5.19	$12.05
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $4.84 / $13.84	Professional		$4.84	$4.84	$13.84