Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $52.87 / $119.70	Facility		$16.32	$52.87	$119.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.13 / $15.46	Professional		$8.32	$10.13	$15.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $29.65 / $40.40	Facility		$18.30	$29.65	$40.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $13.22 / $19.97	Professional		$7.99	$13.22	$19.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $27.60 / $29.79	Professional		$11.26	$27.60	$29.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $15.33 / $47.18	Facility		$10.19	$15.33	$47.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $13.51 / $22.65	Professional		$11.26	$13.51	$22.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.26 / $15.20 / $27.68	Facility		$11.26	$15.20	$27.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $14.16 / $32.65	Facility		$10.19	$14.16	$32.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $13.51 / $18.43	Professional		$11.26	$13.51	$18.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.96 / $34.75 / $46.52	Facility		$21.96	$34.75	$46.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $14.36 / $27.90	Professional		$10.14	$14.36	$27.90
United Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $6.43 / $13.51	Professional		$4.73	$6.43	$13.51