Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.54 / $25.25 / $350.53	Facility		$14.54	$25.25	$350.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $11.76 / $21.14	Professional		$10.36	$11.76	$21.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.70 / $31.91 / $43.53	Facility		$19.70	$31.91	$43.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $13.63 / $21.74	Professional		$8.69	$13.63	$21.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $29.18 / $31.49	Professional		$12.12	$29.18	$31.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $15.25 / $39.84	Facility		$11.00	$15.25	$39.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $14.54 / $19.98	Professional		$12.12	$14.54	$19.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $16.36 / $26.75	Facility		$12.12	$16.36	$26.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $15.25 / $35.15	Facility		$11.00	$15.25	$35.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $15.15 / $19.85	Professional		$12.12	$15.15	$19.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.63 / $37.43 / $50.07	Facility		$23.63	$37.43	$50.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.46 / $29.54	Professional		$10.72	$15.46	$29.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $6.93 / $14.54	Professional		$5.09	$6.93	$14.54