Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.57 / $33.54 / $238.00	Facility		$15.57	$33.54	$238.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $13.26 / $23.36	Professional		$10.65	$13.26	$23.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $31.55 / $43.04	Facility		$19.48	$31.55	$43.04
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 $11.98 / $29.18 / $31.49	Professional		$11.98	$29.18	$31.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.87 / $15.08 / $39.84	Facility		$10.87	$15.08	$39.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $14.38 / $24.12	Professional		$11.98	$14.38	$24.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $16.17 / $30.75	Facility		$11.98	$16.17	$30.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.87 / $15.08 / $34.74	Facility		$10.87	$15.08	$34.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $14.38 / $19.62	Professional		$11.98	$14.38	$19.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.36 / $36.97 / $49.49	Facility		$23.36	$36.97	$49.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.28 / $29.54	Professional		$10.72	$15.28	$29.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $5.94 / $14.38	Professional		$5.03	$5.94	$14.38