Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $33.63 / $137.65	Facility		$15.61	$33.63	$137.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $30.96 / $32.67	Professional		$10.40	$30.96	$32.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.53 / $31.63 / $43.12	Facility		$19.53	$31.63	$43.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $13.63 / $21.74	Professional		$8.52	$13.63	$21.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $29.18 / $31.49	Professional		$12.01	$29.18	$31.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.48 / $16.66 / $44.44	Facility		$10.48	$16.66	$44.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $13.81 / $19.95	Professional		$12.01	$13.81	$19.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.01 / $16.21 / $26.51	Facility		$12.01	$16.21	$26.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.48 / $15.10 / $34.83	Facility		$10.48	$15.10	$34.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $15.01 / $19.66	Professional		$12.01	$15.01	$19.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $37.04 / $49.62	Facility		$23.42	$37.04	$49.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.31 / $29.54	Professional		$10.72	$15.31	$29.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $6.86 / $14.41	Professional		$5.04	$6.86	$14.41