Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.44 / $18.66 / $36.04	Facility		$15.44	$18.66	$36.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $11.49 / $17.12	Professional		$10.36	$11.49	$17.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.93 / $33.90 / $46.21	Facility		$20.93	$33.90	$46.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $14.87 / $22.91	Professional		$9.24	$14.87	$22.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $31.56 / $34.04	Professional		$12.87	$31.56	$34.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $16.18 / $43.16	Facility		$11.66	$16.18	$43.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $14.80 / $21.11	Professional		$12.87	$14.80	$21.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.87 / $17.10 / $28.41	Facility		$12.87	$17.10	$28.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $16.18 / $37.32	Facility		$11.66	$16.18	$37.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $15.44 / $21.06	Professional		$12.87	$15.44	$21.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.10 / $39.72 / $53.17	Facility		$25.10	$39.72	$53.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $16.41 / $32.00	Professional		$11.59	$16.41	$32.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $6.38 / $15.44	Professional		$5.41	$6.38	$15.44