Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $41.31 / $106.40	Facility		$13.50	$41.31	$106.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $10.48 / $67.72	Professional		$9.61	$10.48	$67.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $28.43 / $38.79	Facility		$17.55	$28.43	$38.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.81 / $12.39 / $19.39	Professional		$7.81	$12.39	$19.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $26.02 / $28.08	Professional		$10.80	$26.02	$28.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $14.02 / $43.14	Facility		$9.80	$14.02	$43.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $12.96 / $21.74	Professional		$10.80	$12.96	$21.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10.80 / $14.67 / $24.60	Facility		$10.80	$14.67	$24.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $13.59 / $31.32	Facility		$9.80	$13.59	$31.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $13.50 / $17.69	Professional		$10.80	$13.50	$17.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.06 / $33.35 / $44.62	Facility		$21.06	$33.35	$44.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $13.77 / $26.26	Professional		$9.56	$13.77	$26.26
United Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $6.17 / $12.96	Professional		$4.54	$6.17	$12.96