Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.77 / $15.43 / $29.79	Facility		$12.77	$15.43	$29.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $10.32 / $57.71	Professional		$9.77	$10.32	$57.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $28.03 / $38.19	Facility		$17.30	$28.03	$38.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $12.39 / $18.80	Professional		$7.64	$12.39	$18.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $26.02 / $28.08	Professional		$10.64	$26.02	$28.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.82 / $11.35 / $24.94	Facility		$8.82	$11.35	$24.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $12.77 / $21.00	Professional		$10.64	$12.77	$21.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $12.77 / $23.49	Facility		$10.64	$12.77	$23.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $12.87 / $30.86	Facility		$9.27	$12.87	$30.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $13.30 / $17.41	Professional		$10.64	$13.30	$17.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.75 / $32.83 / $43.96	Facility		$20.75	$32.83	$43.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $13.56 / $26.26	Professional		$9.56	$13.56	$26.26
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.27 / $12.77	Professional		$4.47	$5.27	$12.77