Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.13 / $29.94 / $60.72	Facility		$16.13	$29.94	$60.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $12.51 / $25.80	Professional		$10.36	$12.51	$25.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.98 / $33.97 / $46.32	Facility		$20.98	$33.97	$46.32
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 $12.90 / $31.56 / $34.04	Professional		$12.90	$31.56	$34.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $16.23 / $43.16	Facility		$11.70	$16.23	$43.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $14.84 / $21.24	Professional		$12.90	$14.84	$21.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $17.42 / $28.48	Facility		$12.90	$17.42	$28.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $16.23 / $37.40	Facility		$11.70	$16.23	$37.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $15.48 / $21.12	Professional		$12.90	$15.48	$21.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.16 / $39.83 / $53.30	Facility		$25.16	$39.83	$53.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $16.45 / $32.00	Professional		$11.59	$16.45	$32.00
United Facility/Professional Facility Modifier Low / Median / High Price $8.11 / $8.11 / $12.90	Facility		$8.11	$8.11	$12.90
United Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $7.38 / $15.48	Professional		$5.42	$7.38	$15.48