Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.51 / $64.47 / $157.69	Facility		$15.51	$64.47	$157.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $7.20 / $10.74	Professional		$5.97	$7.20	$10.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $21.26 / $29.03	Facility		$13.13	$21.26	$29.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $9.50 / $14.69	Professional		$5.86	$9.50	$14.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $19.71 / $21.28	Professional		$8.08	$19.71	$21.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7.84 / $16.86 / $65.97	Facility		$7.84	$16.86	$65.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $8.97 / $12.94	Professional		$8.08	$8.97	$12.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.08 / $10.91 / $17.84	Facility		$8.08	$10.91	$17.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $7.03 / $10.16 / $23.43	Facility		$7.03	$10.16	$23.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $9.69 / $13.24	Professional		$8.08	$9.69	$13.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.76 / $24.93 / $33.38	Facility		$15.76	$24.93	$33.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $10.31 / $19.69	Professional		$7.25	$10.31	$19.69
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.62 / $9.69	Professional		$3.39	$4.62	$9.69