Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.83 / $19.13 / $36.93	Facility		$15.83	$19.13	$36.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $12.79 / $71.53	Professional		$10.36	$12.79	$71.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.43 / $34.71 / $47.38	Facility		$21.43	$34.71	$47.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $15.28 / $23.50	Professional		$9.41	$15.28	$23.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $32.35 / $34.90	Professional		$13.19	$32.35	$34.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.96 / $16.59 / $43.99	Facility		$11.96	$16.59	$43.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $15.83 / $21.72	Professional		$13.19	$15.83	$21.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.19 / $17.80 / $29.12	Facility		$13.19	$17.80	$29.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.96 / $16.59 / $38.25	Facility		$11.96	$16.59	$38.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $16.48 / $21.60	Professional		$13.19	$16.48	$21.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.72 / $40.70 / $54.49	Facility		$25.72	$40.70	$54.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $16.80 / $32.82	Professional		$11.87	$16.80	$32.82
United Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $7.54 / $15.83	Professional		$5.54	$7.54	$15.83