Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $22.46 / $43.37	Facility		$18.59	$22.46	$43.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $15.03 / $84.02	Professional		$14.25	$15.03	$84.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.18 / $40.78 / $55.60	Facility		$25.18	$40.78	$55.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $17.76 / $27.61	Professional		$11.19	$17.76	$27.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $37.86 / $40.86	Professional		$15.49	$37.86	$40.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $19.48 / $51.46	Facility		$15.03	$19.48	$51.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.59 / $26.25	Professional		$15.49	$18.59	$26.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $20.91 / $34.19	Facility		$15.49	$20.91	$34.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $19.48 / $44.92	Facility		$15.49	$19.48	$44.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.59 / $25.36	Professional		$15.49	$18.59	$25.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.21 / $47.83 / $64.00	Facility		$30.21	$47.83	$64.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $19.75 / $38.56	Professional		$13.91	$19.75	$38.56
United Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $8.85 / $18.59	Professional		$6.51	$8.85	$18.59