Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.56 / $16.39 / $31.64	Facility		$13.56	$16.39	$31.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $61.28	Professional		$10.96	$10.96	$61.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $29.77 / $40.56	Facility		$18.38	$29.77	$40.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $13.22 / $20.56	Professional		$8.17	$13.22	$20.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $27.60 / $29.79	Professional		$11.30	$27.60	$29.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.95 / $12.23 / $33.70	Facility		$10.95	$12.23	$33.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $13.56 / $22.72	Professional		$11.30	$13.56	$22.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11.30 / $15.26 / $24.94	Facility		$11.30	$15.26	$24.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.30 / $13.67 / $32.77	Facility		$11.30	$13.67	$32.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $13.56 / $18.48	Professional		$11.30	$13.56	$18.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.04 / $34.88 / $46.68	Facility		$22.04	$34.88	$46.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $14.40 / $27.90	Professional		$10.14	$14.40	$27.90
United Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $5.60 / $13.56	Professional		$4.75	$5.60	$13.56