Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $53.68 / $119.68	Facility		$16.73	$53.68	$119.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $11.60 / $15.41	Professional		$10.30	$11.60	$15.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.93 / $33.90 / $46.29	Facility		$20.93	$33.90	$46.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $14.87 / $22.91	Professional		$9.24	$14.87	$22.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $31.56 / $34.04	Professional		$12.88	$31.56	$34.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.68 / $16.20 / $43.16	Facility		$11.68	$16.20	$43.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.46 / $21.12	Professional		$12.88	$15.46	$21.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $16.10 / $28.43	Facility		$12.88	$16.10	$28.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.68 / $16.20 / $37.35	Facility		$11.68	$16.20	$37.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.46 / $21.10	Professional		$12.88	$15.46	$21.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $39.75 / $53.21	Facility		$25.12	$39.75	$53.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $16.43 / $32.00	Professional		$11.59	$16.43	$32.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $7.36 / $15.46	Professional		$5.41	$7.36	$15.46