Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.25 / $108.00 / $254.80	Facility		$18.25	$108.00	$254.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $20.94 / $32.13	Professional		$10.47	$20.94	$32.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $31.59 / $43.12	Facility		$19.50	$31.59	$43.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $13.63 / $21.74	Professional		$8.52	$13.63	$21.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $29.18 / $31.49	Professional		$12.00	$29.18	$31.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.48 / $16.64 / $67.50	Facility		$10.48	$16.64	$67.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $13.80 / $21.00	Professional		$12.00	$13.80	$21.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $16.20 / $26.49	Facility		$12.00	$16.20	$26.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.48 / $15.10 / $34.79	Facility		$10.48	$15.10	$34.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $15.00 / $19.66	Professional		$12.00	$15.00	$19.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.40 / $37.03 / $49.58	Facility		$23.40	$37.03	$49.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.31 / $29.54	Professional		$10.72	$15.31	$29.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $6.86 / $14.40	Professional		$5.04	$6.86	$14.40