Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $33.77 / $192.26	Facility		$16.94	$33.77	$192.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $15.83 / $45.09	Professional		$12.05	$15.83	$45.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.03 / $35.68 / $48.66	Facility		$22.03	$35.68	$48.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $15.69 / $24.09	Professional		$9.77	$15.69	$24.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $33.14 / $35.72	Professional		$13.55	$33.14	$35.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.82 / $14.46 / $44.48	Facility		$11.82	$14.46	$44.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $16.26 / $22.33	Professional		$13.55	$16.26	$22.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $18.29 / $29.91	Facility		$13.55	$18.29	$29.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.82 / $16.39 / $39.29	Facility		$11.82	$16.39	$39.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $16.94 / $22.19	Professional		$13.55	$16.94	$22.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.42 / $41.83 / $55.98	Facility		$26.42	$41.83	$55.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $17.28 / $33.64	Professional		$12.17	$17.28	$33.64
United Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $20.32 / $21.68	Facility		$20.32	$20.32	$21.68
United Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $7.74 / $16.26	Professional		$5.69	$7.74	$16.26