Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.67 / $43.73 / $90.41	Facility		$15.67	$43.73	$90.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $17.85 / $26.80	Professional		$13.25	$17.85	$26.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $30.15 / $35.00	Facility		$19.57	$30.15	$35.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $13.63 / $21.74	Professional		$10.30	$13.63	$21.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $29.18 / $31.49	Professional		$12.05	$29.18	$31.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.27 / $14.46 / $38.38	Facility		$6.27	$14.46	$38.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $13.86 / $16.27	Professional		$12.05	$13.86	$16.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $13.26 / $18.07	Facility		$12.05	$13.26	$18.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.40 / $21.16 / $35.88	Facility		$13.40	$21.16	$35.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $20.23 / $25.76	Professional		$13.26	$20.23	$25.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.46 / $42.18 / $76.02	Facility		$32.46	$42.18	$76.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.29 / $31.68	Professional		$10.72	$14.29	$31.68
United Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.73 / $22.08	Professional		$7.23	$7.73	$22.08