Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.26 / $36.42 / $104.47	Facility		$18.26	$36.42	$104.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $14.17 / $81.00	Professional		$12.66	$14.17	$81.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.75 / $38.47 / $42.47	Facility		$23.75	$38.47	$42.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.81 / $15.56 / $26.44	Professional		$7.81	$15.56	$26.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $35.49 / $38.31	Professional		$14.61	$35.49	$38.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $14.61 / $36.52	Facility		$10.64	$14.61	$36.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $14.91 / $22.02	Professional		$14.61	$14.91	$22.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $16.50 / $32.25	Facility		$14.61	$16.50	$32.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $17.53 / $39.27	Facility		$10.64	$17.53	$39.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $16.07 / $20.45	Professional		$14.16	$16.07	$20.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $44.46 / $60.36	Facility		$28.49	$44.46	$60.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $13.95 / $36.10	Professional		$11.18	$13.95	$36.10
United Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $6.26 / $17.53	Professional		$6.14	$6.26	$17.53