Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.53 / $39.90 / $64.59	Facility		$17.53	$39.90	$64.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $10.78 / $20.68	Professional		$10.28	$10.78	$20.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $30.26 / $35.13	Facility		$19.64	$30.26	$35.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $13.63 / $21.74	Professional		$6.77	$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 $6.29 / $12.09 / $30.71	Facility		$6.29	$12.09	$30.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $13.90 / $16.44	Professional		$12.09	$13.90	$16.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.09 / $13.30 / $18.14	Facility		$12.09	$13.30	$18.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.50 / $14.51 / $30.71	Facility		$10.50	$14.51	$30.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $13.30 / $16.93	Professional		$11.49	$13.30	$16.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $36.79 / $49.95	Facility		$23.58	$36.79	$49.95
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 Facility Modifier Low / Median / High Price $18.14 / $18.14 / $19.34	Facility		$18.14	$18.14	$19.34
United Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $5.08 / $14.51	Professional		$5.08	$5.08	$14.51