Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.35 / $22.97 / $44.35	Facility		$15.35	$22.97	$44.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $15.36 / $22.97	Professional		$10.36	$15.36	$22.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.75 / $41.72 / $56.90	Facility		$25.75	$41.72	$56.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $18.17 / $28.20	Professional		$11.37	$18.17	$28.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $38.65 / $41.70	Professional		$15.84	$38.65	$41.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $19.93 / $53.12	Facility		$14.38	$19.93	$53.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $18.22 / $25.98	Professional		$15.84	$18.22	$25.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $20.70 / $34.97	Facility		$15.84	$20.70	$34.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $19.93 / $45.94	Facility		$14.38	$19.93	$45.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $19.01 / $25.93	Professional		$15.84	$19.01	$25.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.89 / $48.90 / $65.44	Facility		$30.89	$48.90	$65.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $20.20 / $39.38	Professional		$14.19	$20.20	$39.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $9.06 / $19.01	Professional		$6.65	$9.06	$19.01