Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $21.34 / $41.22	Facility		$17.66	$21.34	$41.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $14.28 / $79.89	Professional		$10.36	$14.28	$79.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $38.76 / $52.86	Facility		$23.93	$38.76	$52.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $16.93 / $26.44	Professional		$10.48	$16.93	$26.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $36.28 / $39.14	Professional		$14.72	$36.28	$39.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $17.52 / $48.97	Facility		$12.83	$17.52	$48.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $17.66 / $24.23	Professional		$14.72	$17.66	$24.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $19.80 / $32.49	Facility		$14.72	$19.80	$32.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $17.80 / $42.69	Facility		$12.83	$17.80	$42.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $18.39 / $24.10	Professional		$14.72	$18.39	$24.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $45.43 / $60.81	Facility		$28.70	$45.43	$60.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $18.77 / $36.10	Professional		$13.33	$18.77	$36.10
United Facility/Professional Professional Modifier Low / Median / High Price $6.18 / $8.41 / $17.66	Professional		$6.18	$8.41	$17.66