Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $82.86 / $126.90	Facility		$18.75	$82.86	$126.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.42 / $12.70 / $18.82	Professional		$11.42	$12.70	$18.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.20 / $37.58 / $51.25	Facility		$23.20	$37.58	$51.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $16.52 / $25.85	Professional		$10.30	$16.52	$25.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $34.70 / $37.45	Professional		$14.27	$34.70	$37.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $42.83 / $98.80	Facility		$13.84	$42.83	$98.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $16.41 / $24.15	Professional		$14.27	$16.41	$24.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.27 / $19.26 / $31.50	Facility		$14.27	$19.26	$31.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.44 / $17.95 / $41.38	Facility		$12.44	$17.95	$41.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $17.12 / $23.36	Professional		$14.27	$17.12	$23.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27.83 / $44.03 / $58.96	Facility		$27.83	$44.03	$58.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $18.20 / $35.28	Professional		$12.74	$18.20	$35.28
United Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $8.16 / $17.12	Professional		$5.99	$8.16	$17.12