Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $65.62 / $109.60	Facility		$19.95	$65.62	$109.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $10.84 / $18.97	Professional		$10.37	$10.84	$18.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.45 / $36.36 / $43.04	Facility		$22.45	$36.36	$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 $13.82 / $33.90 / $36.59	Professional		$13.82	$33.90	$36.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $15.08 / $36.29	Facility		$9.94	$15.08	$36.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $16.32 / $22.66	Professional		$13.82	$16.32	$22.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.82 / $16.57 / $30.51	Facility		$13.82	$16.57	$30.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.87 / $16.57 / $36.36	Facility		$10.87	$16.57	$36.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $15.50 / $19.63	Professional		$13.82	$15.50	$19.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26.95 / $42.05 / $57.10	Facility		$26.95	$42.05	$57.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $15.29 / $34.46	Professional		$12.25	$15.29	$34.46
United Facility/Professional Professional Modifier Low / Median / High Price $5.80 / $6.85 / $16.57	Professional		$5.80	$6.85	$16.57