Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.41 / $66.00 / $126.35	Facility		$18.41	$66.00	$126.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $10.84 / $16.54	Professional		$9.99	$10.84	$16.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $31.71 / $43.29	Facility		$19.57	$31.71	$43.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $13.63 / $21.74	Professional		$8.69	$13.63	$21.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $29.18 / $31.49	Professional		$12.05	$29.18	$31.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $15.33 / $47.18	Facility		$10.92	$15.33	$47.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $14.46 / $24.25	Professional		$12.05	$14.46	$24.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $16.27 / $30.75	Facility		$12.05	$16.27	$30.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $15.16 / $34.95	Facility		$10.92	$15.16	$34.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $14.46 / $19.73	Professional		$12.05	$14.46	$19.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $37.20 / $49.78	Facility		$23.50	$37.20	$49.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.36 / $29.54	Professional		$10.72	$15.36	$29.54
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $6.89 / $14.46	Professional		$5.05	$6.89	$14.46