Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.53 / $17.55 / $33.90	Facility		$14.53	$17.55	$33.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.48 / $40.25	Professional		$11.75	$14.48	$40.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.68 / $31.87 / $43.48	Facility		$19.68	$31.87	$43.48
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 $12.11 / $29.18 / $31.49	Professional		$12.11	$29.18	$31.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.56 / $15.23 / $39.84	Facility		$10.56	$15.23	$39.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $14.53 / $24.15	Professional		$12.11	$14.53	$24.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $16.35 / $26.73	Facility		$12.11	$16.35	$26.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.56 / $15.23 / $35.11	Facility		$10.56	$15.23	$35.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $15.14 / $19.82	Professional		$12.11	$15.14	$19.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $37.38 / $50.03	Facility		$23.61	$37.38	$50.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.44 / $29.54	Professional		$10.72	$15.44	$29.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $6.00 / $17.11	Professional		$5.09	$6.00	$17.11