Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $66.59 / $113.05	Facility		$20.26	$66.59	$113.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $10.54 / $14.46	Professional		$9.07	$10.54	$14.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $31.83 / $43.41	Facility		$19.64	$31.83	$43.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $13.63 / $21.74	Professional		$8.69	$13.63	$21.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $29.18 / $31.49	Professional		$12.09	$29.18	$31.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $16.77 / $52.00	Facility		$10.54	$16.77	$52.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $13.90 / $22.05	Professional		$12.09	$13.90	$22.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $16.32 / $26.69	Facility		$12.09	$16.32	$26.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $15.20 / $35.06	Facility		$10.54	$15.20	$35.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $15.11 / $19.79	Professional		$12.09	$15.11	$19.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $37.29 / $49.95	Facility		$23.58	$37.29	$49.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.41 / $29.54	Professional		$10.72	$15.41	$29.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $6.91 / $14.51	Professional		$5.08	$6.91	$14.51