Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.12 / $91.79 / $154.63	Facility		$16.12	$91.79	$154.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $9.80 / $17.05	Professional		$3.34	$9.80	$17.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.88 / $25.72 / $45.23	Facility		$15.88	$25.72	$45.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $10.24 / $17.62	Professional		$8.88	$10.24	$17.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $23.67 / $25.52	Professional		$9.77	$23.67	$25.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.48 / $20.38 / $105.60	Facility		$9.48	$20.38	$105.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $9.77 / $12.76	Professional		$5.21	$9.77	$12.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $11.04 / $21.57	Facility		$9.77	$11.04	$21.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $11.72 / $26.96	Facility		$9.77	$11.72	$26.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $10.75 / $13.68	Professional		$5.31	$10.75	$13.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $136.78 / $171.33 / $214.61	Facility		$136.78	$171.33	$214.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $14.70 / $23.79	Professional		$3.91	$14.70	$23.79
United Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $5.86 / $13.80	Professional		$4.09	$5.86	$13.80