Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.92 / $64.02 / $131.28	Facility		$19.92	$64.02	$131.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $12.25 / $18.86	Professional		$11.69	$12.25	$18.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.33 / $36.17 / $49.32	Facility		$22.33	$36.17	$49.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $15.69 / $24.67	Professional		$9.77	$15.69	$24.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $33.14 / $35.72	Professional		$13.74	$33.14	$35.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.99 / $19.05 / $76.00	Facility		$11.99	$19.05	$76.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $16.48 / $27.65	Professional		$13.74	$16.48	$27.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.74 / $18.55 / $33.82	Facility		$13.74	$18.55	$33.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.99 / $17.28 / $39.85	Facility		$11.99	$17.28	$39.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $17.18 / $22.49	Professional		$13.74	$17.18	$22.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.79 / $42.43 / $56.77	Facility		$26.79	$42.43	$56.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $17.51 / $33.64	Professional		$12.17	$17.51	$33.64
United Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $7.85 / $16.48	Professional		$5.77	$7.85	$16.48