Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.81 / $57.60 / $129.60	Facility		$13.81	$57.60	$129.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $9.65 / $12.85	Professional		$8.63	$9.65	$12.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.45 / $28.27 / $38.54	Facility		$17.45	$28.27	$38.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $12.39 / $19.39	Professional		$7.64	$12.39	$19.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $26.02 / $28.08	Professional		$10.74	$26.02	$28.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.73 / $14.90 / $46.50	Facility		$9.73	$14.90	$46.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $12.89 / $21.61	Professional		$10.74	$12.89	$21.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $14.50 / $23.71	Facility		$10.74	$14.50	$23.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.73 / $13.51 / $31.15	Facility		$9.73	$13.51	$31.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $13.43 / $17.57	Professional		$10.74	$13.43	$17.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.94 / $33.15 / $44.37	Facility		$20.94	$33.15	$44.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $13.69 / $26.26	Professional		$9.56	$13.69	$26.26
United Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $6.14 / $12.89	Professional		$4.51	$6.14	$12.89