Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $95.35 / $171.08	Facility		$12.86	$95.35	$171.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $11.28 / $51.17	Professional		$9.59	$11.28	$51.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $26.04 / $33.89	Facility		$16.07	$26.04	$33.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $11.56 / $17.62	Professional		$6.75	$11.56	$17.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $24.46 / $26.38	Professional		$9.89	$24.46	$26.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.23 / $11.86 / $31.54	Facility		$9.23	$11.86	$31.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $11.37 / $14.24	Professional		$9.89	$11.37	$14.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9.89 / $10.88 / $21.83	Facility		$9.89	$10.88	$21.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.89 / $11.97 / $28.68	Facility		$9.89	$11.97	$28.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $11.87 / $15.46	Professional		$9.89	$11.87	$15.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19.29 / $30.10 / $40.86	Facility		$19.29	$30.10	$40.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $12.02 / $24.62	Professional		$8.98	$12.02	$24.62
United Facility/Professional Professional Modifier Low / Median / High Price $4.15 / $5.40 / $11.87	Professional		$4.15	$5.40	$11.87