Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $61.75 / $175.68	Facility		$15.49	$61.75	$175.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $11.15 / $15.69	Professional		$10.53	$11.15	$15.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.13 / $32.60 / $44.51	Facility		$20.13	$32.60	$44.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $14.04 / $22.32	Professional		$8.88	$14.04	$22.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $29.98 / $32.35	Professional		$12.39	$29.98	$32.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $17.19 / $67.50	Facility		$11.24	$17.19	$67.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $14.87 / $24.93	Professional		$12.39	$14.87	$24.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.39 / $16.73 / $29.73	Facility		$12.39	$16.73	$29.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $15.58 / $35.93	Facility		$11.24	$15.58	$35.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $14.87 / $20.28	Professional		$12.39	$14.87	$20.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24.16 / $38.22 / $51.19	Facility		$24.16	$38.22	$51.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $15.80 / $30.36	Professional		$11.01	$15.80	$30.36
United Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $6.14 / $17.50	Professional		$5.20	$6.14	$17.50