Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.58 / $28.91 / $121.38	Facility		$15.58	$28.91	$121.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $14.90 / $21.38	Professional		$12.09	$14.90	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.25 / $32.81 / $44.75	Facility		$20.25	$32.81	$44.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $14.46 / $22.32	Professional		$8.88	$14.46	$22.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $30.77 / $33.18	Professional		$12.46	$30.77	$33.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.85 / $15.66 / $41.50	Facility		$10.85	$15.66	$41.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $14.95 / $25.06	Professional		$12.46	$14.95	$25.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.46 / $16.82 / $27.51	Facility		$12.46	$16.82	$27.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.85 / $15.66 / $36.13	Facility		$10.85	$15.66	$36.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $15.58 / $20.39	Professional		$12.46	$15.58	$20.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.30 / $38.45 / $51.48	Facility		$24.30	$38.45	$51.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $15.88 / $30.36	Professional		$11.30	$15.88	$30.36
United Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $7.12 / $14.95	Professional		$5.23	$7.12	$14.95