Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $41.16 / $109.87	Facility		$17.10	$41.16	$109.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $12.94 / $13.14	Professional		$10.50	$12.94	$13.14
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 $6.75 / $13.63 / $21.74	Professional		$6.75	$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 / $13.13 / $25.13	Facility		$6.27	$13.13	$25.13
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 $12.86 / $14.46 / $30.71	Facility		$12.86	$14.46	$30.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $13.26 / $16.87	Professional		$11.45	$13.26	$16.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $36.67 / $49.78	Facility		$23.50	$36.67	$49.78
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 Professional Modifier Low / Median / High Price $5.05 / $5.05 / $14.46	Professional		$5.05	$5.05	$14.46