Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $19.73 / $38.11	Facility		$16.32	$19.73	$38.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $14.61 / $19.73	Professional		$11.11	$14.61	$19.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.13 / $35.84 / $43.04	Facility		$22.13	$35.84	$43.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $15.56 / $24.67	Professional		$8.52	$15.56	$24.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $33.14 / $35.72	Professional		$13.61	$33.14	$35.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.73 / $15.08 / $39.84	Facility		$11.73	$15.08	$39.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $14.97 / $19.73	Professional		$13.61	$14.97	$19.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.61 / $16.32 / $30.04	Facility		$13.61	$16.32	$30.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.61 / $16.47 / $39.47	Facility		$13.61	$16.47	$39.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $15.50 / $19.63	Professional		$13.61	$15.50	$19.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.54 / $41.42 / $56.23	Facility		$26.54	$41.42	$56.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $15.29 / $33.64	Professional		$12.17	$15.29	$33.64
United Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $6.85 / $16.32	Professional		$5.72	$6.85	$16.32