Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $36.17 / $85.93	Facility		$19.48	$36.17	$85.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.89 / $19.73	Professional		$13.49	$13.89	$19.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $41.03 / $55.95	Facility		$25.33	$41.03	$55.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $17.76 / $28.20	Professional		$11.19	$17.76	$28.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $37.86 / $40.86	Professional		$15.59	$37.86	$40.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.59 / $16.63 / $52.29	Facility		$13.59	$16.63	$52.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $17.64 / $21.32	Professional		$15.59	$17.64	$21.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.59 / $21.05 / $102.45	Facility		$15.59	$21.05	$102.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.59 / $18.86 / $45.21	Facility		$13.59	$18.86	$45.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $17.63 / $22.29	Professional		$15.59	$17.63	$22.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.40 / $48.10 / $64.41	Facility		$30.40	$48.10	$64.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $16.51 / $38.56	Professional		$13.24	$16.51	$38.56
United Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $8.91 / $18.71	Professional		$6.55	$8.91	$18.71