Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $19.73 / $38.11	Facility		$16.32	$19.73	$38.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $13.20 / $61.80	Professional		$13.20	$13.20	$61.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.13 / $35.84 / $40.86	Facility		$22.13	$35.84	$40.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $14.80 / $24.67	Professional		$8.17	$14.80	$24.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $33.14 / $35.72	Professional		$13.61	$33.14	$35.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.14 / $14.72 / $38.18	Facility		$11.14	$14.72	$38.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $15.51 / $24.15	Professional		$13.61	$15.51	$24.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.61 / $15.88 / $30.04	Facility		$13.61	$15.88	$30.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.61 / $16.32 / $39.47	Facility		$13.61	$16.32	$39.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $14.97 / $19.05	Professional		$13.61	$14.97	$19.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.54 / $41.42 / $56.23	Facility		$26.54	$41.42	$56.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $14.51 / $33.64	Professional		$11.63	$14.51	$33.64
United Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $6.51 / $16.32	Professional		$5.72	$6.51	$16.32