Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.50 / $20.30 / $75.66	Facility		$17.50	$20.30	$75.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $13.58 / $19.22	Professional		$11.91	$13.58	$19.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.75 / $36.86 / $50.30	Facility		$22.75	$36.86	$50.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $16.11 / $25.26	Professional		$10.11	$16.11	$25.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $33.90 / $36.59	Professional		$14.00	$33.90	$36.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $16.64 / $47.31	Facility		$13.58	$16.64	$47.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $16.80 / $22.04	Professional		$14.00	$16.80	$22.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $17.10 / $30.91	Facility		$14.00	$17.10	$30.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $16.94 / $40.60	Facility		$14.00	$16.94	$40.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $16.80 / $22.93	Professional		$14.00	$16.80	$22.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $43.23 / $57.84	Facility		$27.30	$43.23	$57.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $17.86 / $34.46	Professional		$12.46	$17.86	$34.46
United Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $8.01 / $16.80	Professional		$5.88	$8.01	$16.80