Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $33.00 / $150.27	Facility		$15.89	$33.00	$150.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $22.94 / $24.00	Professional		$11.76	$22.94	$24.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $34.86 / $47.58	Facility		$21.53	$34.86	$47.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $15.28 / $23.50	Professional		$9.41	$15.28	$23.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $32.35 / $34.90	Professional		$13.24	$32.35	$34.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $16.66 / $44.82	Facility		$11.55	$16.66	$44.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $15.89 / $21.79	Professional		$13.24	$15.89	$21.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $17.87 / $29.23	Facility		$13.24	$17.87	$29.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $16.66 / $38.40	Facility		$11.55	$16.66	$38.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $16.55 / $21.68	Professional		$13.24	$16.55	$21.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.82 / $40.85 / $54.70	Facility		$25.82	$40.85	$54.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $16.88 / $32.82	Professional		$11.87	$16.88	$32.82
United Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $6.57 / $15.89	Professional		$5.56	$6.57	$15.89