Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.13 / $61.70 / $103.25	Facility		$20.13	$61.70	$103.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $12.68 / $24.37	Professional		$10.75	$12.68	$24.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $38.31 / $52.23	Facility		$23.65	$38.31	$52.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $16.93 / $25.85	Professional		$10.48	$16.93	$25.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $35.49 / $38.31	Professional		$14.55	$35.49	$38.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $20.18 / $48.97	Facility		$12.68	$20.18	$48.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $16.73 / $29.28	Professional		$14.55	$16.73	$29.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.55 / $19.64 / $32.79	Facility		$14.55	$19.64	$32.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $18.30 / $42.20	Facility		$12.68	$18.30	$42.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $18.19 / $23.82	Professional		$14.55	$18.19	$23.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $44.90 / $60.11	Facility		$28.37	$44.90	$60.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $18.55 / $36.10	Professional		$13.04	$18.55	$36.10
United Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $8.32 / $17.46	Professional		$6.11	$8.32	$17.46