Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $17.76 / $34.29	Facility		$14.70	$17.76	$34.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $11.88 / $66.48	Professional		$10.36	$11.88	$66.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.89 / $32.24 / $43.98	Facility		$19.89	$32.24	$43.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $14.04 / $21.74	Professional		$8.69	$14.04	$21.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $29.98 / $32.35	Professional		$12.25	$29.98	$32.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.10 / $15.41 / $40.67	Facility		$11.10	$15.41	$40.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $14.70 / $20.18	Professional		$12.25	$14.70	$20.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $16.54 / $27.04	Facility		$12.25	$16.54	$27.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.10 / $15.41 / $35.53	Facility		$11.10	$15.41	$35.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $15.31 / $20.05	Professional		$12.25	$15.31	$20.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.89 / $37.79 / $50.61	Facility		$23.89	$37.79	$50.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $15.62 / $30.36	Professional		$11.01	$15.62	$30.36
United Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $18.38 / $19.60	Facility		$18.38	$18.38	$19.60
United Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $7.00 / $14.70	Professional		$5.15	$7.00	$14.70