Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $21.46 / $41.44	Facility		$17.76	$21.46	$41.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $13.32 / $17.70	Professional		$12.90	$13.32	$17.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.05 / $38.96 / $53.12	Facility		$24.05	$38.96	$53.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $16.93 / $26.44	Professional		$10.66	$16.93	$26.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $36.28 / $39.14	Professional		$14.80	$36.28	$39.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $18.61 / $49.80	Facility		$13.42	$18.61	$49.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $17.02 / $24.36	Professional		$14.80	$17.02	$24.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.80 / $19.80 / $32.67	Facility		$14.80	$19.80	$32.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $18.61 / $42.92	Facility		$13.42	$18.61	$42.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $17.76 / $24.23	Professional		$14.80	$17.76	$24.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.86 / $45.68 / $61.14	Facility		$28.86	$45.68	$61.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $18.86 / $36.10	Professional		$13.33	$18.86	$36.10
United Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $8.46 / $17.76	Professional		$6.22	$8.46	$17.76