Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $55.35 / $115.62	Facility		$19.02	$55.35	$115.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $11.89 / $18.80	Professional		$11.15	$11.89	$18.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.33 / $34.54 / $47.13	Facility		$21.33	$34.54	$47.13
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 $13.12 / $32.35 / $34.90	Professional		$13.12	$32.35	$34.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $18.20 / $48.60	Facility		$11.90	$18.20	$48.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $15.09 / $21.60	Professional		$13.12	$15.09	$21.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $17.71 / $28.96	Facility		$13.12	$17.71	$28.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $16.50 / $38.04	Facility		$11.90	$16.50	$38.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $15.74 / $21.48	Professional		$13.12	$15.74	$21.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.58 / $40.50 / $54.20	Facility		$25.58	$40.50	$54.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $16.72 / $32.00	Professional		$11.87	$16.72	$32.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $7.50 / $15.74	Professional		$5.51	$7.50	$15.74